Provider Demographics
NPI:1063433555
Name:SCHEEL, EDWARD J (MD)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:J
Last Name:SCHEEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1801 SE HILLMOOR DR
Mailing Address - Street 2:SUITE A101
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34952-7553
Mailing Address - Country:US
Mailing Address - Phone:772-486-7879
Mailing Address - Fax:
Practice Address - Street 1:1801 SE HILLMOOR DR
Practice Address - Street 2:SUITE A101
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34952-7553
Practice Address - Country:US
Practice Address - Phone:772-337-5535
Practice Address - Fax:772-337-3655
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2013-08-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME398942086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL066510000Medicaid
FLD56771Medicare UPIN
FL066510000Medicaid