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General NPI Number Information
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NPI Number | 1023025731
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Entity Type | Individual
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Provider Name | STEPHEN F SCHOLLE MD
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Gender | Male
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 12/29/2010
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Provider Practice Location Address
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Address Line | 1661 ESTERO BLVD STE 1
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City | FORT MYERS BEACH
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State | FL
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Zip | 33931-2846
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Country | US
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Telephone | 239-765-0007
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Fax | 239-765-0247
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Provider Business Mailing Address
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Address Line | PO BOX 6970
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City | FORT MYERS BEACH
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State | FL
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Zip | 33932
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Country | US
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Telephone | 239-765-0007
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Fax | 239-765-0247
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME 0033695
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License Number State | FL
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