Provider Demographics
NPI:1679757561
Name:STECKEL, SIENNA (MD)
Entity Type:Individual
Prefix:
First Name:SIENNA
Middle Name:
Last Name:STECKEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 WEST AVE APT 2003
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-6796
Mailing Address - Country:US
Mailing Address - Phone:650-219-6769
Mailing Address - Fax:
Practice Address - Street 1:586 NW 27TH ST STE B
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127-4128
Practice Address - Country:US
Practice Address - Phone:844-678-0055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-27
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA001565207P00000X
FLME102712207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000557900Medicaid
FL76016OtherBCBS