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Individual

ERIK J. SCHULTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
13770 PLANTATION RD, SUITE 2, FORT MYERS, FL 33912-4301
(239) 275-0728
(239) 275-6947
Mailing address
2234 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9103690
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1023884
WELLCARE
FL
01
184911
UNIVERSAL
FL
05
292575300
FL
01
398637
AVMED
FL
01
9231217
AETNA
FL
01
BCBS FL
Y05XJ
FL
01
P00380791
RR MEDICARE
FL
Enumeration date
09/24/2006
Last updated
12/14/2016
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