Basic Information
| Provider Information | |||||||||
| NPI: | 1346291101 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHOONOVER | ||||||||
| FirstName: | GEORGE | ||||||||
| MiddleName: | ANDREW | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8773 PERIMETER PARK CT | ||||||||
| Address2: | |||||||||
| City: | JACKSONVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 322161165 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9044933390 | ||||||||
| FaxNumber: | 9044933395 | ||||||||
| Practice Location | |||||||||
| Address1: | 1361 13TH AVE S STE 245 | ||||||||
| Address2: | |||||||||
| City: | JACKSONVILLE BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 32250 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9044937174 | ||||||||
| FaxNumber: | 9046940696 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/15/2006 | ||||||||
| LastUpdateDate: | 08/20/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0200X | ME33021 | FL | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RP1001X | ME33021 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
ID Information
| ID | Type | State | Issuer | Description | 4045223 | 01 | FL | AETNA | OTHER | 02027 | 01 | FL | FLORIDA BLUE - INDIVIDUAL | OTHER | 1059961 | 01 | FL | CIGNA | OTHER | 0098365-00 | 01 | FL | FL MEDICAID - GROUP | OTHER | 039256100 | 05 | FL | MEDICAID | 1346291101 | 01 | FL | UNITED HEALTHCARE | OTHER | DT8174 | 01 | FL | RR MEDICARE - GROUP | OTHER | 004E6 | 01 | FL | FLORIDA BLUE - GROUP | OTHER | 40443 | 01 | FL | AVMED | OTHER | 6082 | 01 | FL | WELLCARE | OTHER |