Provider Demographics
NPI:1205858354
Name:SCHILLING, PAUL J (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:J
Last Name:SCHILLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7000 NW 11TH PL
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-3144
Mailing Address - Country:US
Mailing Address - Phone:352-331-0900
Mailing Address - Fax:352-331-1511
Practice Address - Street 1:7000 NW 11TH PL
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-3144
Practice Address - Country:US
Practice Address - Phone:352-331-0900
Practice Address - Fax:352-331-1511
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFLME640272085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL066004OtherVISTA
FL23206OtherBCBS
FL210019OtherAVMED
FL373304100Medicaid
FLF64945Medicare UPIN
FL23206VMedicare ID - Type Unspecified