Provider Demographics
NPI:1427746866
Name:SCHIERMYER RENEWED WELLNESS LLC
Entity type:Organization
Organization Name:SCHIERMYER RENEWED WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SCHIERMYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:772-410-3348
Mailing Address - Street 1:1906 12TH CT
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-3504
Mailing Address - Country:US
Mailing Address - Phone:772-410-3348
Mailing Address - Fax:772-618-7374
Practice Address - Street 1:1906 12TH CT
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-3504
Practice Address - Country:US
Practice Address - Phone:772-410-3348
Practice Address - Fax:772-618-7375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
3191447OtherCIGNA
FL88980OtherBCBS
1447413893OtherNPI
11999319OtherCAQH
FLCH9495OtherDOH
FL113474900Medicaid