MEDICARE: DR. MARK WILLIAM STEEHLER D.O.

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	207Y00000X	Otolaryngology Physician	OS14977	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000941985001	OTHER	NY	BLUECROSS BLUESHIELD OF WNY
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	284191	OTHER	NY	NY LICENSE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538453667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK WILLIAM STEEHLER D.O.

Provider Business Mailing Address
First Line	:	7251 UNIVERSITY BLVD STE 300
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-8659
Country	:	US
Telephone Number	:	407-677-0099
Fax Number	:

Provider Business Practice Location Address
First Line	:	7251 UNIVERSITY BLVD STE 300
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-8659
Country	:	US
Telephone Number	:	407-677-0099
Fax Number	:

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

Provider Enumeration Date	:	06/06/2011
Last Update Date	:	09/17/2018

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