Provider Demographics
NPI:1306119540
Name:STECHSCHULTE, WILLIAM M (DO)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:M
Last Name:STECHSCHULTE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11700 OKEECHOBEE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-8721
Mailing Address - Country:US
Mailing Address - Phone:561-790-0789
Mailing Address - Fax:561-790-3884
Practice Address - Street 1:11700 OKEECHOBEE BLVD
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-8721
Practice Address - Country:US
Practice Address - Phone:561-790-0789
Practice Address - Fax:561-790-3884
Is Sole Proprietor?:No
Enumeration Date:2012-02-20
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS12628207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine