Provider Demographics
NPI:1528255346
Name:STEINBERG PODIATRY ASSOCIATES, PA
Entity type:Organization
Organization Name:STEINBERG PODIATRY ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-351-0220
Mailing Address - Street 1:38 SE 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-2521
Mailing Address - Country:US
Mailing Address - Phone:352-351-0220
Mailing Address - Fax:352-351-5491
Practice Address - Street 1:38 SE 16TH AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-2521
Practice Address - Country:US
Practice Address - Phone:352-351-0220
Practice Address - Fax:352-351-5491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL45780Medicare PIN
FL0694860001Medicare NSC