Provider Demographics
NPI:1104051770
Name:SCHURR, WILLIAM BRADLY (DO)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BRADLY
Last Name:SCHURR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:601 S HARBOUR ISLAND BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5925
Mailing Address - Country:US
Mailing Address - Phone:800-480-5243
Mailing Address - Fax:800-928-7449
Practice Address - Street 1:3311 DANIELS RD STE 104
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-7000
Practice Address - Country:US
Practice Address - Phone:407-743-0351
Practice Address - Fax:844-388-6186
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-26
Last Update Date:2023-03-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS014457207Q00000X
FLOS12713207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015088900Medicaid
FLIF197ZMedicare UPIN