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NPI Code Detail

MEDICARE: DR. KEITH ANDREW MORSE D.M.D.

MEDICARE:  DR. KEITH ANDREW MORSE  D.M.D.
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
1122300000XDentist15215FL

General Provider Information

NPI Number : 1952511271
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEITH ANDREW MORSE D.M.D.
Provider Business Mailing Address
First Line : 14731 N CLEVELAND AVE STE 1
Second Line :
City : N FORT MYERS
State : FL
Zip : 33903-3818
Country : US
Telephone Number : 239-995-2257
Fax Number : 239-995-4388
Provider Business Practice Location Address
First Line : 14731 N CLEVELAND AVE STE 1
Second Line :
City : N FORT MYERS
State : FL
Zip : 33903-3818
Country : US
Telephone Number : 239-995-2257
Fax Number : 239-995-4388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 07/08/2007

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Directions to “ DR. KEITH ANDREW MORSE D.M.D.” Practice Location

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