Provider Demographics
NPI:1508800053
Name:SCHIERLINGER, KURT A (DPM)
Entity Type:Individual
Prefix:
First Name:KURT
Middle Name:A
Last Name:SCHIERLINGER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S RIDGEWOOD AVE
Mailing Address - Street 2:STE 2
Mailing Address - City:EDGEWATER
Mailing Address - State:FL
Mailing Address - Zip Code:32132-1935
Mailing Address - Country:US
Mailing Address - Phone:386-423-9573
Mailing Address - Fax:386-423-6823
Practice Address - Street 1:201 S RIDGEWOOD AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:EDGEWATER
Practice Address - State:FL
Practice Address - Zip Code:32132-1935
Practice Address - Country:US
Practice Address - Phone:386-423-9573
Practice Address - Fax:386-423-6823
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO0001828213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL390216100Medicaid
FL390216100Medicaid
FL6073590001Medicare NSC
FL87968Medicare PIN