Provider Demographics
NPI:1548343924
Name:STEINBERG, GERALD R (MD)
Entity type:Individual
Prefix:DR
First Name:GERALD
Middle Name:R
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 BAYSHORE BLVD
Mailing Address - Street 2:#1406
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-8875
Mailing Address - Country:US
Mailing Address - Phone:813-837-5352
Mailing Address - Fax:
Practice Address - Street 1:3301 BAYSHORE BLVD
Practice Address - Street 2:#1406
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-8875
Practice Address - Country:US
Practice Address - Phone:813-837-5352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11348174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE49366Medicare UPIN
FL91188Medicare ID - Type Unspecified