| St. Cloud Neurology, P.a. | |
|
451 Sw Bethany Dr Suite 101 Port St Lucie FL 34986-1964 | |
| (772) 203-9356 | |
| (772) 249-0137 |
| Full Name | St. Cloud Neurology, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 451 Sw Bethany Dr, Port St Lucie, Florida |
| Authorized Official Name and Position | Paul Schmidt (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7722045468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Cloud Neurology, P.a. 451 Sw Bethany Dr Suite 101 Port St Lucie FL 34986-1964 Ph: (772) 203-9356 | St. Cloud Neurology, P.a. 451 Sw Bethany Dr Suite 101 Port St Lucie FL 34986-1964 Ph: (772) 203-9356 |
| NPI Number | 1508005273 |
|---|---|
| Provider Enumeration Date | 02/19/2009 |
| Last Update Date | 10/29/2014 |
| Medicare PECOS PAC ID | 7810048154 |
|---|---|
| Medicare Enrollment ID | O20090629000038 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508005273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME76267 (Florida) | Primary |
| Provider Name | Paul Schmidt |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245252444 PECOS PAC ID: 1850359530 Enrollment ID: I20050908000246 |
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