MEDICARE: APPLE OPHTHALMIC PA

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	207W00000X	Ophthalmology Physician	ME43218	FL

General Provider Information

NPI Number	:	1134325046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPLE OPHTHALMIC PA

Provider Business Mailing Address
First Line	:	11115 COUNTY LINE ROAD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-5615
Country	:	US
Telephone Number	:	352-666-9990
Fax Number	:	352-666-1905

Provider Business Practice Location Address
First Line	:	1310 NORTH C-470
Second Line	:
City	:	LAKE PANASOFFKEE
State	:	FL
Zip	:	33538
Country	:	US
Telephone Number	:	352-568-2020
Fax Number	:	352-666-1905

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KEITH B STOLTE
Credential	:	MD
Telephone Number	:	352-568-2020

Provider Enumeration Date	:	06/26/2007
Last Update Date	:	08/22/2020

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Directions to “APPLE OPHTHALMIC PA ” Practice Location

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