Organization
DONALD B. SCHAK SR., M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD B. SCHAK SR. M.D., PA (DIRECT OWNER)
(850) 678-0061
Entity
Organization
Contact information
Practice address
120 S JOHN SIMS PKWY, SUITE C, VALPARAISO, FL 32580-1212
(850) 678-0061
(850) 678-0068
Mailing address
120 S JOHN SIMS PKWY, SUITE C, VALPARAISO, FL 32580-1212
(850) 678-0061
(850) 678-0068
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME76306
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256492100
—
FL
01
—
44534
BCBS
FL
01
—
B288
HEALTH OPTIONS
FL
Enumeration date
07/27/2006
Last updated
03/13/2013
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