MEDICARE: ERIC KEASLER

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	2085R0202X	Diagnostic Radiology Physician	ME161337	FL
2	390200000X	Student in an Organized Health Care Education/Training Program

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

General Provider Information

NPI Number	:	1417480641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC KEASLER

Provider Business Mailing Address
First Line	:	1300 MICCOSUKEE RD # B
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-5054
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 MICCOSUKEE RD # B
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-5054
Country	:	US
Telephone Number	:	850-431-7910
Fax Number	:

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

Provider Enumeration Date	:	04/05/2017
Last Update Date	:	04/09/2026

Similar Medicare Providers

1710829288 — DR. JOHNATHAN VISARION TORIKASHVILI MD
Practice Location Address:

1300 MICCOSUKEE RD
TALLAHASSEE, FL
32308-5054

Practice Phone: 850-431-8261
Practice Fax: 850-431-8251

1992647721 — DR. ROBERT EDWARD PHILLIPS MD
Practice Location Address:

1300 MICCOSUKEE RD
TALLAHASSEE, FL
32308-5054

Practice Phone: 850-431-8261
Practice Fax: 850-431-8251

1962494575 — DR. CINDY KORTE MD
Practice Location Address:

1300 MICCOSUKEE RD
TALLAHASSEE, FL
32308-5054

Practice Phone: 850-471-0170
Practice Fax: 850-471-0169

1841261336 — MR. GREGORY SYDNOR LAFFITTE PA-C
Practice Location Address:

1300 MICCOSUKEE RD , HOSPITALISTS GROUP
TALLAHASSEE, FL
32308-5054

Practice Phone: 850-431-4556
Practice Fax: 850-431-6315

1124092044 — DR. BANSIDAS M AGRAVAT M.D
Practice Location Address:

1300 MICCOSUKEE RD
TALLAHASSEE, FL
32308-5054

Practice Phone: 850-431-0756
Practice Fax: 850-431-0779

1679547590 — DR. EDWARD RIVERS EASTMAN M.D.
Practice Location Address:

1300 MICCOSUKEE RD , BIXLER EMERGENCY CENTER
TALLAHASSEE, FL
32308-5054

Practice Phone: 850-431-0756
Practice Fax: 850-431-0779

Directions to “ ERIC KEASLER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.