Healthcare Provider Details

I. General information

NPI: 1609844216
Provider Name (Legal Business Name): STEVEN M FIORE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 04/17/2020
Certification Date: 04/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 ALVERSER DR STE 103
MIDLOTHIAN VA
23113-2653
US

IV. Provider business mailing address

1230 ALVERSER DR STE 103
MIDLOTHIAN VA
23113-2653
US

V. Phone/Fax

Practice location:
  • Phone: 804-514-1657
  • Fax: 804-893-7801
Mailing address:
  • Phone: 804-514-1657
  • Fax: 804-893-7801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0101042908
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number0101042908
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number0101042908
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: