Healthcare Provider Details

I. General information

NPI: 1013128719
Provider Name (Legal Business Name): KATHRYN STECKEL C.N.M
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 12/07/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 DR MARTIN LUTHER KING JR ST N
ST PETERSBURG FL
33704-4204
US

IV. Provider business mailing address

PO BOX 917770
ORLANDO FL
32891-0001
US

V. Phone/Fax

Practice location:
  • Phone: 727-456-0750
  • Fax: 727-456-0751
Mailing address:
  • Phone: 813-821-8038
  • Fax: 727-548-0960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN11005862
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN11005862
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: