Chandler, Keith W

Chandler, Keith W is an individual health care provider with primary practice located at 4620 N Habana Ave , Tampa FL 33614-7107. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Chandler, Keith W can be contacted via phone (813) 875-9362.

Contact Information

Primary practice address
4620 N Habana Ave Tampa FL 33614-7107
Phone: (813) 875-9362
Fax: (813) 876-7055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME38341 Florida
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X ME38341 Florida

Profile Details

NPI number 1407860588
LBN Legal business name Chandler, Keith W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jun 21st, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407860588 NPPES
Florida MEDICAID 065159100
Florida Other 290004784

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