Provider Demographics
NPI:1861585986
Name:KRONLAGE, STEVEN C (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:C
Last Name:KRONLAGE
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 1:1040 GULF BREEZE PKWY
Mailing Address - Street 2:SUITE 209
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32561-7808
Mailing Address - Country:US
Mailing Address - Phone:850-916-8480
Mailing Address - Fax:850-916-8499
Practice Address - Street 1:1040 GULF BREEZE PKWY
Practice Address - Street 2:SUITE 209
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32561-7808
Practice Address - Country:US
Practice Address - Phone:850-916-8480
Practice Address - Fax:850-916-8499
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME86563174400000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2190109OtherUNITED HEALTHCARE
FLC412OtherHEALTH FIRST
AL59085285OtherBCBS ALABAMA
FL274012500Medicaid
FL81526OtherBCBS FLORIDA
FLP00213251OtherMEDICARE RAILROAD
FL6338170001Medicare NSC
FL5789020001Medicare NSC
FL2190109OtherUNITED HEALTHCARE
FL81526OtherBCBS FLORIDA
FLP00213251OtherMEDICARE RAILROAD
FL81526XMedicare PIN
FL5789020004Medicare NSC
FL81526ZMedicare ID - Type Unspecified