Provider Demographics
NPI:1568515526
Name:SCHAEFFER, STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:SCHAEFFER
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 1:8927 HYPOLUXO ROAD
Mailing Address - Street 2:SUITE A-4 #117
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-5249
Mailing Address - Country:US
Mailing Address - Phone:561-368-3686
Mailing Address - Fax:561-370-3060
Practice Address - Street 1:9466 CAMPI DR
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-6998
Practice Address - Country:US
Practice Address - Phone:561-368-3686
Practice Address - Fax:561-370-3060
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME57362207QA0401X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11474Medicare ID - Type Unspecified
FLE19606Medicare UPIN