Individual
IAN L STEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1223 GATEWAY DR, SUITE 2B, MELBOURNE, FL 32901-2607
(321) 549-0813
(321) 952-2330
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME89909
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277468200
—
FL
01
—
3445
TRN
FL
01
—
6407183
CIGNA PIN
FL
01
—
91869
BCBS FL
FL
01
—
P01164228
RR MEDICARE
FL
Enumeration date
10/20/2006
Last updated
03/10/2020
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