MEDICARE: MRS. JADA LEE STEELE MS, CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA 7969	FL

General Provider Information

NPI Number	:	1215073432
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JADA LEE STEELE MS, CCC-SLP

Provider Business Mailing Address
First Line	:	4512 W NORTH ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33614-3623
Country	:	US
Telephone Number	:	813-886-2373
Fax Number	:

Provider Business Practice Location Address
First Line	:	1725 E BAY DR
Second Line	:	SUITE C
City	:	LARGO
State	:	FL
Zip	:	33771-2208
Country	:	US
Telephone Number	:	727-582-9665
Fax Number	:	727-582-9865

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	07/08/2007

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