Provider Demographics
NPI:1407560782
Name:STEADYHAND MEDICAL GROUP FL PA
Entity Type:Organization
Organization Name:STEADYHAND MEDICAL GROUP FL PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED PERSON
Authorized Official - Prefix:
Authorized Official - First Name:KAMARR
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-709-5670
Mailing Address - Street 1:755 W BIG BEAVER RD STE 2020
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-4925
Mailing Address - Country:US
Mailing Address - Phone:844-904-1713
Mailing Address - Fax:844-909-4644
Practice Address - Street 1:755 W BIG BEAVER RD STE 2020
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-4925
Practice Address - Country:US
Practice Address - Phone:844-904-1713
Practice Address - Fax:844-909-4644
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEADYHAND MEDICAL GROUP FL PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty