Healthcare Provider Details

I. General information

NPI: 1083682488
Provider Name (Legal Business Name): JOHN ROBERT STEEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 11/21/2022
Certification Date: 11/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4031 UPPER CREEK DR
SUN CITY CENTER FL
33573-6819
US

IV. Provider business mailing address

8927 EAGLE WATCH DR
RIVERVIEW FL
33578-4993
US

V. Phone/Fax

Practice location:
  • Phone: 813-633-2733
  • Fax: 813-634-8606
Mailing address:
  • Phone: 813-917-2212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberME63419
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: