Healthcare Provider Details

I. General information

NPI: 1205853298
Provider Name (Legal Business Name): DENISE STEELE RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 SE 1ST AVE 101
OCALA FL
34471-0409
US

IV. Provider business mailing address

2801 SE 1ST AVE 101
OCALA FL
34471-0409
US

V. Phone/Fax

Practice location:
  • Phone: 352-690-6300
  • Fax: 352-690-6802
Mailing address:
  • Phone: 352-690-6300
  • Fax: 352-690-6802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN2624062
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: