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NPI Code Detail

MEDICARE: DR. STEPHEN FLEISCHER D.O.

MEDICARE: DR. STEPHEN FLEISCHER D.O.
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
1208600000XSurgery Physician34010315OH
2390200000XStudent in an Organized Health Care Education/Training ProgramOH
3208600000XSurgery PhysicianOS16728FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134335805
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN FLEISCHER D.O.
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 239-343-1176
Fax Number : 239-343-4238
Provider Business Practice Location Address
First Line : 6201 ALLIANCE LN STE 100
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-7164
Country : US
Telephone Number : 239-343-1176
Fax Number : 239-468-7947
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 08/12/2025

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