Provider Demographics
NPI:1013900299
Name:STEMMER, CRAIG L (MD)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:L
Last Name:STEMMER
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 1:2900 N MILITARY TRL
Mailing Address - Street 2:STE 195
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6365
Mailing Address - Country:US
Mailing Address - Phone:561-241-7100
Mailing Address - Fax:561-241-3647
Practice Address - Street 1:2900 N MILITARY TRL
Practice Address - Street 2:STE 195
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6365
Practice Address - Country:US
Practice Address - Phone:561-241-7100
Practice Address - Fax:561-241-3647
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME41999207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
3102040OtherUNITED HEALTHCARE
010016136OtherRAILROAD MEDICARE
FL067912700Medicaid
P505636OtherOXFORD
0046634OtherGHI
P505636OtherOXFORD
D63821Medicare UPIN