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NPI Code Detail

MEDICARE: DANA KEELER

MEDICARE: DANA KEELER
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
1363LF0000XFamily Nurse PractitionerAPRN11021771FL
2163W00000XRegistered NurseRN9488268FL

General Provider Information

NPI Number : 1760166359
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANA KEELER
Provider Business Mailing Address
First Line : 4501 S SEMORAN BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32822-2407
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4501 S SEMORAN BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32822-2407
Country : US
Telephone Number : 321-445-7418
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2023
Last Update Date : 06/14/2023

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Directions to “ DANA KEELER ” Practice Location

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