Healthcare Provider Details

I. General information

NPI: 1285617142
Provider Name (Legal Business Name): STEVEN HO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2005
Last Update Date: 03/01/2021
Certification Date: 03/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1344 S APOLLO BLVD STE 301
MELBOURNE FL
32901-3183
US

IV. Provider business mailing address

1344 S APOLLO BLVD STE 301
MELBOURNE FL
32901-3183
US

V. Phone/Fax

Practice location:
  • Phone: 321-676-2353
  • Fax: 321-951-9267
Mailing address:
  • Phone: 321-676-2353
  • Fax: 321-951-9267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License NumberME87795
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: