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1932100906

NPI Code Detail

MEDICARE: ROBERT JAMES KEENAN MD

MEDICARE: ROBERT JAMES KEENAN MD

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
1	208600000X	Surgery Physician	MD044187E	PA
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	MD044187E	PA
3	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	ME 123918	FL
4	208600000X	Surgery Physician	ME 123918	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1932100906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT JAMES KEENAN MD

Provider Business Mailing Address
First Line	:	12902 USF MAGNOLIA DR
Second Line	:	MOFFITT CANCER CENTER
City	:	TAMPA
State	:	FL
Zip	:	33612-9416
Country	:	US
Telephone Number	:	813-745-6080
Fax Number	:	813-449-8788

Provider Business Practice Location Address
First Line	:	12902 USF MAGNOLIA DR
Second Line	:	MOFFITT CANCER CENTER
City	:	TAMPA
State	:	FL
Zip	:	33612-9416
Country	:	US
Telephone Number	:	813-745-6080
Fax Number	:	813-449-8788

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	04/24/2015

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Practice Location Address:

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1508863879 — DONALD KLIPPENSTEIN MD
Practice Location Address:

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1417956913 — DR. STEVEN PAUL LUDLOW RPH, PHARMD
Practice Location Address:

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1164423232 — GERALDINE M JACOBSON MD
Practice Location Address:

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Directions to “ ROBERT JAMES KEENAN MD” Practice Location

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