Individual
THOMAS J SCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1893 KINGSLEY AVE, SUITE C, ORANGE PARK, FL 32073-4491
(904) 276-2044
(904) 276-2106
Mailing address
1893 KINGSLEY AVE, SUITE C, ORANGE PARK, FL 32073-4491
(904) 276-2044
(904) 276-2106
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME112299
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000001893
ANTHEM
OH
05
—
0794109
—
OH
01
—
290003198
RAILROAD MEDICARE
OH
Enumeration date
01/11/2007
Last updated
10/14/2013
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