Individual
DOUGLAS SCHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1405 S ORANGE AVE, STE 101, ORLANDO, FL 32806-2154
(407) 522-4525
Mailing address
4760 OLIVE BRANCH RD, APT 1604, ORLANDO, FL 32811-7398
(407) 420-1061
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18685
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA18685
LICENSE #
FL
Enumeration date
08/30/2006
Last updated
07/01/2008
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