Provider Demographics
NPI:1902809023
Name:SCHOEN, MARTIN S (NP)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:S
Last Name:SCHOEN
Suffix:
Gender:M
Credentials:NP
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 1:401 NORTH BLVD WEST
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748
Practice Address - Country:US
Practice Address - Phone:352-728-4242
Practice Address - Fax:352-728-4868
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP1907363LF0000X
NMR54053363LF0000X
FLARNP1940482363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily