MEDICARE: STEPHEN F SCHOLLE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME 0033695	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	90071995	OTHER	FL	RR MEDICARE

General Provider Information

NPI Number	:	1023025731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN F SCHOLLE MD

Provider Business Mailing Address
First Line	:	PO BOX 6970
Second Line	:
City	:	FORT MYERS BEACH
State	:	FL
Zip	:	33932
Country	:	US
Telephone Number	:	239-765-0007
Fax Number	:	239-765-0247

Provider Business Practice Location Address
First Line	:	1661 ESTERO BLVD
Second Line	:	STE 1
City	:	FORT MYERS BEACH
State	:	FL
Zip	:	33931-2846
Country	:	US
Telephone Number	:	239-765-0007
Fax Number	:	239-765-0247

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	12/29/2010

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Directions to “ STEPHEN F SCHOLLE MD” Practice Location

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