Organization
STOUTAMYER STRATOS SCHROEDER WHALEY & RIZZO MDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN S SCHROEDER MD (PRESIDENT)
(941) 749-5464
Entity
Organization
Contact information
Practice address
2020 59TH ST WEST, BLAKE MEDICAL CENTER, BRADENTON, FL 34209
(941) 792-6611
Mailing address
804 40TH ST WEST, BRADENTON, FL 34205
(941) 749-5464
(941) 747-1815
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043629100
—
FL
Enumeration date
05/17/2006
Last updated
01/16/2009
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