Provider Demographics
NPI:1336227578
Name:STEELE, JAMES E (DO)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:STEELE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:325 5TH AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:INDIALANTIC
Mailing Address - State:FL
Mailing Address - Zip Code:32903-4273
Mailing Address - Country:US
Mailing Address - Phone:321-821-4890
Mailing Address - Fax:321-821-4890
Practice Address - Street 1:325 5TH AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:INDIALANTIC
Practice Address - State:FL
Practice Address - Zip Code:32903-4273
Practice Address - Country:US
Practice Address - Phone:321-821-4890
Practice Address - Fax:321-821-4890
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS5233207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF77220Medicare UPIN
FL80869CMedicare ID - Type Unspecified