MEDICARE: STEPHANIE L. SCHMITT 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	208600000X	Surgery Physician	ME60423	FL
2	208C00000X	Colon & Rectal Surgery Physician	ME60423	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	DA5786	OTHER	FL	RAILROAD MEDICARE GROUP NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	14319	OTHER	FL	BCBS OF FLORIDA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1497748743	OTHER	FL	GROUP NPI NUMBER / LRHSI

General Provider Information

NPI Number	:	1831185149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE L. SCHMITT M.D.

Provider Business Mailing Address
First Line	:	PO BOX 102101
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30368-2101
Country	:	US
Telephone Number	:	863-603-6565
Fax Number	:	863-603-6576

Provider Business Practice Location Address
First Line	:	1417 LAKELAND HILLS BLVD
Second Line	:	202
City	:	LAKELAND
State	:	FL
Zip	:	33805-3200
Country	:	US
Telephone Number	:	863-687-1259
Fax Number	:	863-284-1786

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

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	03/26/2009

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Directions to “ STEPHANIE L. SCHMITT M.D.” Practice Location

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