Organization
STEWARD MEDICAL GROUP, INC
Active
Other names
103 LONGWOOD AVE
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MARIE GUAY (PRESIDENT OF SMG)
(617) 562-7070
Entity
Organization
Contact information
Practice address
103 LONGWOOD AVE, ROCKLEDGE, FL 32955-2827
(321) 631-5677
Mailing address
9 GALEN ST, WATERTOWN, MA 02472-4515
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20669963
—
FL
Enumeration date
11/18/2021
Last updated
11/18/2021
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