Organization Name: | STEPHEN F. SCHOLLE MD PA |
NPI Number: | 1366653081 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN F SCHOLLE (PRESIDENT) |
Mailing Address: | 1661 Estero Blvd Ste 1 Fort Myers Beach |
State: | FL US |
Postal Code: | 339312846 |
Phone Number: | 2397650007 |
Fax Number: | 2397650247 |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 11/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | ME0033695 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |