Provider Demographics
NPI:1508456518
Name:STEED, MICHAEL ZACKARY (BSN,RN)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ZACKARY
Last Name:STEED
Suffix:
Gender:M
Credentials:BSN,RN
Other - Prefix:
Other - First Name:ZACK
Other - Middle Name:
Other - Last Name:STEED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:1455 HOLLY HEIGHTS DR APT 18
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-4766
Mailing Address - Country:US
Mailing Address - Phone:813-503-1991
Mailing Address - Fax:
Practice Address - Street 1:7201 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2913
Practice Address - Country:US
Practice Address - Phone:813-503-1991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-23
Last Update Date:2021-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9458240163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency