Provider Demographics
NPI:1639120637
Name:BRISTOL, MARIA STEINKE (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:STEINKE
Last Name:BRISTOL
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 1:428 S BUCKSKIN WAY
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-4923
Mailing Address - Country:US
Mailing Address - Phone:407-673-3820
Mailing Address - Fax:
Practice Address - Street 1:4200 SUN N LAKE BLVD
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33872-1986
Practice Address - Country:US
Practice Address - Phone:863-402-3133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-14
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME45949207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL040082300Medicaid
FL31173CMedicare ID - Type Unspecified
FLD62258Medicare UPIN