Provider Demographics
NPI:1205250040
Name:GROVE, SCHUYLER (DC)
Entity type:Individual
Prefix:
First Name:SCHUYLER
Middle Name:
Last Name:GROVE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 NE 42ND AVE
Mailing Address - Street 2:403
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-8022
Mailing Address - Country:US
Mailing Address - Phone:352-671-3100
Mailing Address - Fax:352-236-0815
Practice Address - Street 1:419 NE 36TH AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-1301
Practice Address - Country:US
Practice Address - Phone:352-671-3100
Practice Address - Fax:352-236-0815
Is Sole Proprietor?:No
Enumeration Date:2014-02-14
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH11110111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor