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NPI Code Detail

MEDICARE: JEROME STURM M.D.

MEDICARE: JEROME STURM 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
1207V00000XObstetrics & Gynecology Physician7662NH
2207V00000XObstetrics & Gynecology PhysicianME105369FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10102575Y0NH01OTHERNHANTHEM
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 : 1518932052
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEROME STURM M.D.
Provider Business Mailing Address
First Line : 1900 DON WICKHAM DR
Second Line : SUITE 110
City : CLERMONT
State : FL
Zip : 34711-1979
Country : US
Telephone Number : 352-241-7275
Fax Number : 352-241-7281
Provider Business Practice Location Address
First Line : 1900 DON WICKHAM DR
Second Line : SUITE 110
City : CLERMONT
State : FL
Zip : 34711-1979
Country : US
Telephone Number : 352-241-7275
Fax Number : 352-241-7281
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2006
Last Update Date : 02/01/2012

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