Provider Demographics
NPI:1942620661
Name:SCHMOKE, STEVEN (CPO)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:SCHMOKE
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2606 LAKELAND HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33805-2218
Mailing Address - Country:US
Mailing Address - Phone:863-937-9200
Mailing Address - Fax:863-937-9199
Practice Address - Street 1:2606 LAKELAND HILLS BLVD
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33805-2218
Practice Address - Country:US
Practice Address - Phone:863-937-9200
Practice Address - Fax:863-937-9199
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-21
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPOR268335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier