Haas, Keeley

Haas, Keeley is an individual health care provider with primary practice located at 807 S Orlando Ave Suite C, Winter Park FL 32789-4870. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Haas, Keeley can be contacted via phone (407) 515-2211.

Contact Information

Primary practice address
807 S Orlando Ave Suite C Winter Park FL 32789-4870
Phone: (407) 515-2211
Fax: (407) 309-5412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9217704 Florida

Profile Details

NPI number 1376871764
LBN Legal business name Haas, Keeley
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2009
Last updated Sep 1st, 2016 - about 8 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 1376871764 NPPES
Florida MEDICAID 009189100

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