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General NPI Number Information
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NPI Number | 1316383391
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Entity Type | Individual
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Provider Name | MICHAEL KEYES M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2013
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 730 NW 107TH AVE STE 115
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City | MIAMI
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State | FL
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Zip | 33172-3104
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Country | US
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Telephone | 305-564-7007
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Fax | 305-847-0425
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Provider Business Mailing Address
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Address Line | 23 NE 17TH TER APT 711
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City | MIAMI
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State | FL
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Zip | 33132-1127
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Country | US
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Telephone | 352-359-5042
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | A192179
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME155111
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License Number State | FL
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