MEDICARE: ERIC STECKLER M.D.

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	174400000X	Specialist

General Provider Information

NPI Number	:	1477501617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC STECKLER M.D.

Provider Business Mailing Address
First Line	:	1703 HUNTINGTON CT
Second Line	:
City	:	SAFETY HARBOR
State	:	FL
Zip	:	34695-5636
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	33920 US HIGHWAY 19 N
Second Line	:	SUITE 124
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-2654
Country	:	US
Telephone Number	:	727-785-7654
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	07/08/2007

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