Provider Demographics
NPI:1336339621
Name:FONTAINE-SCHILLER, ANDREA L (DC)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:L
Last Name:FONTAINE-SCHILLER
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:942 SE 17TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-3914
Mailing Address - Country:US
Mailing Address - Phone:352-421-9292
Mailing Address - Fax:352-421-9447
Practice Address - Street 1:942 SE 17TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-3914
Practice Address - Country:US
Practice Address - Phone:352-421-9292
Practice Address - Fax:352-421-9447
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCP00557111N00000X
FLCH13722111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor