Provider Demographics
NPI:1255417192
Name:MISHKIND, STEVEN HART (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:HART
Last Name:MISHKIND
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:PO BOX 511196
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33951-1196
Mailing Address - Country:US
Mailing Address - Phone:941-637-1505
Mailing Address - Fax:
Practice Address - Street 1:900 N ROBERTS AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:FL
Practice Address - Zip Code:34266-8765
Practice Address - Country:US
Practice Address - Phone:863-494-3535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT115184207P00000X
UT12927389-1205207P00000X
FLME70920207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL250965200Medicaid
31321OtherBLUE CROSS
31321ZMedicare ID - Type Unspecified
31321OtherBLUE CROSS