Provider Demographics
NPI:1083682488
Name:STEEL, JOHN ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ROBERT
Last Name:STEEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8927 EAGLE WATCH DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-4993
Mailing Address - Country:US
Mailing Address - Phone:813-917-2212
Mailing Address - Fax:
Practice Address - Street 1:4031 UPPER CREEK DR
Practice Address - Street 2:
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-6819
Practice Address - Country:US
Practice Address - Phone:813-633-2733
Practice Address - Fax:813-634-8606
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME634192085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL372066700Medicaid
FL18535Medicare ID - Type Unspecified
FL372066700Medicaid