Individual
JERETTE SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1921 WALDEMERE ST, SARASOTA, FL 34239-2943
(941) 952-4001
(941) 952-4028
Mailing address
PO BOX 947407, ATLANTA, GA 30394-7407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME160313
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118165700
—
FL
Enumeration date
04/08/2016
Last updated
06/11/2023
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