Organization
STEWARD MEDICAL GROUP, INC
Active
Other names
1133 SEMINOLE DRIVE
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MARIE GUAY (PRESIDENT OF SMG)
(617) 562-7070
Entity
Organization
Contact information
Practice address
1133 SEMINOLE DR, ROCKLEDGE, FL 32955-2836
(321) 637-2975
Mailing address
9 GALEN ST FL 1, WATERTOWN, MA 02472-4515
(617) 562-5628
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20669900
—
FL
Enumeration date
11/03/2021
Last updated
11/03/2021
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