Healthcare Provider Details

I. General information

NPI: 1649695420
Provider Name (Legal Business Name): KEVIN MICHAEL STEELE PHARM. D., CANDIDATE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2014
Last Update Date: 03/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UF COLLEGE OF PHARMACY BOX 100486 HSC
GAINESVILLE FL
32610-0001
US

IV. Provider business mailing address

UF COLLEGE OF PHARMACY BOX 100486 HSC
GAINESVILLE FL
32610-0001
US

V. Phone/Fax

Practice location:
  • Phone: 123-456-7890
  • Fax:
Mailing address:
  • Phone: 123-456-7890
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberPSI27115
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: