Provider Demographics
NPI:1962786350
Name:SCHANEL, ROSEMARIE (PA-C)
Entity type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:
Last Name:SCHANEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 SW 19 AV RD
Mailing Address - Street 2:STE 100
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471
Mailing Address - Country:US
Mailing Address - Phone:352-629-9100
Mailing Address - Fax:352-629-9200
Practice Address - Street 1:2221 SW 19 AV RD
Practice Address - Street 2:STE 100
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471
Practice Address - Country:US
Practice Address - Phone:352-629-9100
Practice Address - Fax:352-629-9200
Is Sole Proprietor?:No
Enumeration Date:2011-10-04
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9106188363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant