Provider Demographics
NPI:1275234643
Name:MAINES, STEVEN B
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:B
Last Name:MAINES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3524 SILVERSIDE RD STE 35B
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-4929
Mailing Address - Country:US
Mailing Address - Phone:213-797-2444
Mailing Address - Fax:
Practice Address - Street 1:10664 CARDERA DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-4704
Practice Address - Country:US
Practice Address - Phone:305-898-3697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
No171400000XOther Service ProvidersHealth & Wellness Coach
No171W00000XOther Service ProvidersContractor
No172A00000XOther Service ProvidersDriver
No174H00000XOther Service ProvidersHealth Educator
No332000000XSuppliersMilitary/U.S. Coast Guard Pharmacy
No332100000XSuppliersDepartment of Veterans Affairs (VA) Pharmacy
No333600000XSuppliersPharmacy