Provider Demographics
NPI:1538356316
Name:STEPHEN P SCHROERING MD PLLC
Entity type:Organization
Organization Name:STEPHEN P SCHROERING MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:SCHROERING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-637-2663
Mailing Address - Street 1:315 E OLYMPIA AVE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-3823
Mailing Address - Country:US
Mailing Address - Phone:941-637-2663
Mailing Address - Fax:941-637-6872
Practice Address - Street 1:315 E OLYMPIA AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-3823
Practice Address - Country:US
Practice Address - Phone:941-637-2663
Practice Address - Fax:941-637-6872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME91685207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK7644Medicare PIN