Provider Demographics
NPI:1104810381
Name:SCHLYER, ARTHUR M JR (MD)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:M
Last Name:SCHLYER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5411 GRAND BLVD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-4011
Mailing Address - Country:US
Mailing Address - Phone:727-847-1825
Mailing Address - Fax:727-849-4855
Practice Address - Street 1:5411 GRAND BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4011
Practice Address - Country:US
Practice Address - Phone:727-847-1825
Practice Address - Fax:727-849-4855
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-02
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0046581207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D56023Medicare UPIN
FL51255Medicare ID - Type Unspecified