Healthcare Provider Details

I. General information

NPI: 1508800053
Provider Name (Legal Business Name): KURT A SCHIERLINGER D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 01/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S RIDGEWOOD AVE SUITE 2
EDGEWATER FL
32132-1935
US

IV. Provider business mailing address

201 S RIDGEWOOD AVE STE 2
EDGEWATER FL
32132-1935
US

V. Phone/Fax

Practice location:
  • Phone: 386-423-9573
  • Fax: 386-423-6823
Mailing address:
  • Phone: 386-423-9573
  • Fax: 386-423-6823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO0001828
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: