Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME70142 | FL |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | ME70142 | FL |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME70142 | FL |
NPI | 1346230265 |
---|---|
Provider Name | Maxwell Wensel Steel III |
First Address | Jacksonville, FL 32256-7356 |
Second Address | Jacksonville, FL 32256-7356 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2005 |
Last Update Date | 08/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2685094-00 | (05) | FL |
G23172 | (02) | FL |
P00349912 | RAILROAD MEDICARE (01) | FL |