MEDICARE: STEVEN C KRONLAGE 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	ME86563	FL
2	207X00000X	Orthopaedic Surgery Physician	ME86563	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00213251	OTHER	FL	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2190109	OTHER	FL	UNITED HEALTHCARE
2	C412	OTHER	FL	HEALTH FIRST
3	59085285	OTHER	AL	BCBS ALABAMA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	81526	OTHER	FL	BCBS FLORIDA

General Provider Information

NPI Number	:	1861585986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN C KRONLAGE M.D.

Provider Business Mailing Address
First Line	:	1040 GULF BREEZE PKWY
Second Line	:	SUITE 209
City	:	GULF BREEZE
State	:	FL
Zip	:	32561-7808
Country	:	US
Telephone Number	:	850-916-8480
Fax Number	:	850-916-8499

Provider Business Practice Location Address
First Line	:	1040 GULF BREEZE PKWY
Second Line	:	SUITE 209
City	:	GULF BREEZE
State	:	FL
Zip	:	32561-7808
Country	:	US
Telephone Number	:	850-916-8480
Fax Number	:	850-916-8499

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	02/28/2017

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Directions to “ STEVEN C KRONLAGE M.D.” Practice Location

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