Healthcare Provider Details

I. General information

NPI: 1538356316
Provider Name (Legal Business Name): STEPHEN P SCHROERING MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2007
Last Update Date: 06/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 E OLYMPIA AVE SUITE 211
PUNTA GORDA FL
33950-3823
US

IV. Provider business mailing address

315 E OLYMPIA AVE SUITE 211
PUNTA GORDA FL
33950-3823
US

V. Phone/Fax

Practice location:
  • Phone: 941-637-2663
  • Fax: 941-637-6872
Mailing address:
  • Phone: 941-637-2663
  • Fax: 941-637-6872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License NumberME91685
License Number StateFL

VIII. Authorized Official

Name: STEPHEN P SCHROERING
Title or Position: OWNER
Credential: MD
Phone: 941-637-2663