Provider Demographics
NPI:1154612257
Name:WHETZEL-SCHILL, RICHARD P (ARNP-C-BC)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:P
Last Name:WHETZEL-SCHILL
Suffix:
Gender:M
Credentials:ARNP-C-BC
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Mailing Address - Street 1:752 STRLING CTR PL STE 1008
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-4889
Mailing Address - Country:US
Mailing Address - Phone:407-333-1212
Mailing Address - Fax:407-333-1213
Practice Address - Street 1:752 STRLING CTR PL
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746
Practice Address - Country:US
Practice Address - Phone:407-333-1212
Practice Address - Fax:407-333-1213
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-22
Last Update Date:2018-07-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP2812582363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFH748ZMedicare PIN