Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | ME147388 | FL |
N | 2080A0000X | Adolescent Medicine | 034143 | GA |
NPI | 1093020661 |
---|---|
Provider Name | Dr. Laura M Steelman |
First Address | Jacksonville, FL 32277-2044 |
Second Address | Jacksonville, FL 32277-2042 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2010 |
Last Update Date | 28/01/2021 |