Provider Demographics
NPI:1598381980
Name:SCHEMM, JOHN MELVIN III
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:MELVIN
Last Name:SCHEMM
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7617 BAY PORT RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-5504
Mailing Address - Country:US
Mailing Address - Phone:321-287-3304
Mailing Address - Fax:
Practice Address - Street 1:7617 BAY PORT RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-5504
Practice Address - Country:US
Practice Address - Phone:321-287-3304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy