Provider Demographics
NPI:1295725307
Name:FIELDS, STEVEN MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MICHAEL
Last Name:FIELDS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7100 W 20TH AVE
Mailing Address - Street 2:311
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1897
Mailing Address - Country:US
Mailing Address - Phone:305-823-2886
Mailing Address - Fax:305-823-2800
Practice Address - Street 1:7100 W 20TH AVE
Practice Address - Street 2:311
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1897
Practice Address - Country:US
Practice Address - Phone:305-823-2886
Practice Address - Fax:305-823-2800
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-28
Last Update Date:2019-09-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME45495207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL257619800Medicaid
FL257619800Medicaid
FL96768ZMedicare PIN