Individual
JOHN LESLIE STEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 609-0095
(407) 609-0096
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 609-0095
(407) 609-0096
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2680
FL
363AS0400X
Surgical Physician Assistant
Primary
PA2680
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290251600
—
FL
01
—
E3712Z
MEDICARE GROUP PTAN
FL
Enumeration date
09/06/2005
Last updated
09/24/2024
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