Healthcare Provider Details

I. General information

NPI: 1649213786
Provider Name (Legal Business Name): STEVEN A WEST MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 04/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2157 PINE RIDGE RD
NAPLES FL
34109-2033
US

IV. Provider business mailing address

801 VANDERBILT BEACH RD
NAPLES FL
34108-8708
US

V. Phone/Fax

Practice location:
  • Phone: 239-624-4014
  • Fax: 239-643-9090
Mailing address:
  • Phone: 239-596-9482
  • Fax: 239-597-4769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME56399
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: