Individual
MARY GERALYN SCHAAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1118 THOMASVILLE RD STE C, TALLAHASSEE, FL 32303-6282
(850) 524-0362
Mailing address
1118 THOMASVILLE RD STE C, TALLAHASSEE, FL 32303-6282
(850) 524-0362
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA0009818
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C1642
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/14/2011
Last updated
09/14/2011
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