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NPI Code Detail

MEDICARE: MARGARET LLANES KEITH M.D

MEDICARE: MARGARET LLANES KEITH M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME85572FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801839063
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET LLANES KEITH M.D
Provider Business Mailing Address
First Line : PO BOX 10549
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33733-0549
Country : US
Telephone Number : 727-944-3828
Fax Number : 727-939-4679
Provider Business Practice Location Address
First Line : 247 S HUEY AVE
Second Line :
City : TARPON SPRINGS
State : FL
Zip : 34689-4205
Country : US
Telephone Number : 727-944-3828
Fax Number : 727-939-7230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 07/11/2012

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