Healthcare Provider Details

I. General information

NPI: 1356881585
Provider Name (Legal Business Name): RAYMOND LACHLAN STEELE DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2017
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8431 POINTE LOOP DR FL 2
VENICE FL
34293-2232
US

IV. Provider business mailing address

PO BOX 947407
ATLANTA GA
30394-7407
US

V. Phone/Fax

Practice location:
  • Phone: 941-261-1900
  • Fax: 941-261-0887
Mailing address:
  • Phone: 941-917-2600
  • Fax: 941-917-7884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS16974
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: