Healthcare Provider Details

I. General information

NPI: 1225057144
Provider Name (Legal Business Name): STEVE ELLIOT MEADOWS VI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 08/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 LINTON BLVD BUILDING A SUITE 201
DELRAY BEACH FL
33445-6584
US

IV. Provider business mailing address

4800 LINTON BLVD BUILDING A, SUITE 201
DELRAY BEACH FL
33445-6584
US

V. Phone/Fax

Practice location:
  • Phone: 561-496-6622
  • Fax: 561-496-3835
Mailing address:
  • Phone: 561-496-6622
  • Fax: 561-865-1720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberME67441
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: