Provider Demographics
NPI:1346230265
Name:STEEL, MAXWELL WENSEL III (MD)
Entity Type:Individual
Prefix:
First Name:MAXWELL
Middle Name:WENSEL
Last Name:STEEL
Suffix:III
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 1:7885 JAMES ISLAND TRL
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-7356
Mailing Address - Country:US
Mailing Address - Phone:904-635-7881
Mailing Address - Fax:
Practice Address - Street 1:7885 JAMES ISLAND TRL
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-7356
Practice Address - Country:US
Practice Address - Phone:904-635-7881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-22
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME70142207XX0004X, 207XX0005X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP00349912OtherRAILROAD MEDICARE
FL2685094-00Medicaid
FL28864VMedicare PIN
FL28864XMedicare PIN
FLP00349912OtherRAILROAD MEDICARE
FL28864YMedicare PIN
FL28864WMedicare PIN