Individual
STEPHANIE L. SCHMITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1417 LAKELAND HILLS BLVD, 202, LAKELAND, FL 33805-3200
(863) 687-1259
(863) 284-1786
Mailing address
PO BOX 102101, ATLANTA, GA 30368-2101
(863) 603-6565
(863) 603-6576
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME60423
FL
208C00000X
Colon & Rectal Surgery Physician
ME60423
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14319
BCBS OF FLORIDA
FL
01
—
1497748743
GROUP NPI NUMBER / LRHSI
FL
05
—
255291400
—
FL
01
—
DA5786
RAILROAD MEDICARE GROUP NUMBER
FL
Enumeration date
09/22/2005
Last updated
03/26/2009
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