Provider Demographics
NPI:1225079874
Name:SCHROERING, STEPHEN P (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:P
Last Name:SCHROERING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 E OLYMPIA AVE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-3823
Mailing Address - Country:US
Mailing Address - Phone:941-637-2663
Mailing Address - Fax:941-637-6872
Practice Address - Street 1:315 E OLYMPIA AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-3823
Practice Address - Country:US
Practice Address - Phone:941-637-2663
Practice Address - Fax:941-637-6872
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME91685207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL272494400Medicaid
FL52273ZMedicare PIN
FLE50929Medicare UPIN
FL272494400Medicaid