Healthcare Provider Details

I. General information

NPI: 1568515526
Provider Name (Legal Business Name): STEVEN SCHAEFFER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2007
Last Update Date: 07/03/2023
Certification Date: 07/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9466 CAMPI DR
LAKE WORTH FL
33467-6998
US

IV. Provider business mailing address

8927 HYPOLUXO ROAD SUITE A-4 #117
LAKE WORTH FL
33467-5249
US

V. Phone/Fax

Practice location:
  • Phone: 561-368-3686
  • Fax: 561-370-3060
Mailing address:
  • Phone: 561-368-3686
  • Fax: 561-370-3060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberME57362
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME57362
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: