MEDICARE: MS. JENNIFER RODY STEEL MD

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	208100000X	Physical Medicine & Rehabilitation Physician	ME 64072	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	237735	OTHER	AUMED
2	19622	OTHER	WELLCARE
3	23117	OTHER	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1407837321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER RODY STEEL MD

Provider Business Mailing Address
First Line	:	3152 LITTLE RD
Second Line	:	# 162
City	:	TRINITY
State	:	FL
Zip	:	34655-1864
Country	:	US
Telephone Number	:	727-376-6578
Fax Number	:	727-376-6784

Provider Business Practice Location Address
First Line	:	6600 MADISON ST
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-1971
Country	:	US
Telephone Number	:	727-376-6578
Fax Number	:	727-376-6784

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

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	02/04/2008

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