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NPI Code Detail

MEDICARE: DR. JEREMY DON STEINBAUM MD

MEDICARE: DR. JEREMY DON STEINBAUM MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0129XVascular Surgery PhysicianME68969FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12010619OTHERFLAETNA
227523OTHERFLBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518913292
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEREMY DON STEINBAUM MD
Provider Business Mailing Address
First Line : 2864 WELLNESS AVE
Second Line : STE 200
City : ORANGE CITY
State : FL
Zip : 32763-8395
Country : US
Telephone Number : 386-775-0333
Fax Number :
Provider Business Practice Location Address
First Line : 2864 WELLNESS AVE
Second Line : STE 200
City : ORANGE CITY
State : FL
Zip : 32763-8395
Country : US
Telephone Number : 386-775-0333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 09/19/2017

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