1508838392 NPI number — DR. STEVEN POWELL MD

Table of content: DR. STEVEN POWELL MD (NPI 1508838392)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508838392 NPI number — DR. STEVEN POWELL MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
POWELL
Provider First Name:
STEVEN
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508838392
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/28/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
101 S NEW YORK AVE UNIT 306
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WINTER PARK
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32789-4290
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
352-804-1724
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
101 S NEW YORK AVE UNIT 306
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WINTER PARK
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32789-4290
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
352-804-1724
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207N00000X , with the licence number:  ME46230 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: CG7408 . This is a "RAILROAD M/C GROUP #" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 54067 . This is a "BC/BS OF FL PROVIDER #" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 592660405 . This is a "TRICARE GROUP #" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 10D0272724 . This is a "CLIA#" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: K1373 . This is a "MEDICARE GROUP #" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 070001265 . This is a "RAILROAD M/C PROVIDER #" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 592660405 . This is a "TAX ID#" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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