Provider Demographics
NPI:1598578205
Name:SCHAEFER, NATASIA NICOLE (PA-C)
Entity type:Individual
Prefix:
First Name:NATASIA
Middle Name:NICOLE
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:NATASIA
Other - Middle Name:
Other - Last Name:PINEIRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2100 MALBEC CT
Mailing Address - Street 2:
Mailing Address - City:MINNEOLA
Mailing Address - State:FL
Mailing Address - Zip Code:34715-1022
Mailing Address - Country:US
Mailing Address - Phone:772-321-7321
Mailing Address - Fax:
Practice Address - Street 1:2100 MALBEC CT
Practice Address - Street 2:
Practice Address - City:MINNEOLA
Practice Address - State:FL
Practice Address - Zip Code:34715-1022
Practice Address - Country:US
Practice Address - Phone:772-321-7321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant