MEDICARE: DR. CORKLIN RAY STEINHART M.D., PH.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	207R00000X	Internal Medicine Physician	ME51905	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1871597732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CORKLIN RAY STEINHART M.D., PH.D

Provider Business Mailing Address
First Line	:	4440 FRUITVILLE RD
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34232-1926
Country	:	US
Telephone Number	:	941-366-0134
Fax Number	:	239-591-6726

Provider Business Practice Location Address
First Line	:	1825 HURLBURT RD STE 14
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32547-3737
Country	:	US
Telephone Number	:	215-756-1220
Fax Number	:	239-591-6726

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	09/17/2019

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