Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | ME71508 | FL |
NPI | 1083720825 |
---|---|
Provider Name | Thomas Michael Steed |
First Address | Miami, FL 33144-2031 |
Second Address | Miami, FL 33186-5506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 02/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
258170100 | (05) | FL |
32980 | BCBS FL (01) | |
B56840 | (02) |