Organization
STEWARD MEDICAL GROUP, INC
Active
Other names
12920 US HIGHWAY 1 STE A
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MARIE GUAY (PRESIDENT OF SMG)
(617) 562-7070
Entity
Organization
Contact information
Practice address
12920 US HIGHWAY 1 STE A, SEBASTIAN, FL 32958-3772
(772) 388-8322
Mailing address
9 GALEN ST, WATERTOWN, MA 02472-4515
(617) 562-5628
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20669917
—
FL
Enumeration date
11/03/2021
Last updated
11/03/2021
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