Healthcare Provider Details
I. General information
NPI: 1316383391
Provider Name (Legal Business Name): MICHAEL KEYES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/16/2013
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
309 23RD ST STE 200A
MIAMI BEACH FL
33139-1700
US
IV. Provider business mailing address
309 23RD ST STE 200A
MIAMI BEACH FL
33139-1700
US
V. Phone/Fax
- Phone: 305-564-7007
- Fax:
- Phone: 305-564-7007
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208200000X |
| Taxonomy | Plastic Surgery Physician |
| License Number | ME155111 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208200000X |
| Taxonomy | Plastic Surgery Physician |
| License Number | A192179 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: