Justice, Keith Myron

Justice, Keith Myron is an individual health care provider with primary practice located at 2460 Old Moultrie Rd Ste 4 , St Augustine FL 32086-4198. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Justice, Keith Myron can be contacted via phone (904) 563-1482.

Contact Information

Primary practice address
2460 Old Moultrie Rd Ste 4 St Augustine FL 32086-4198
Phone: (904) 563-1482
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME 75770 Florida

Profile Details

NPI number 1477558708
LBN Legal business name Justice, Keith Myron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Mar 7th, 2023 - about last year

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 1477558708 NPPES
Florida Other 44678 BCBS
Florida Other 7174040 BCBS
Florida MEDICAID 255358900 BCBS
Florida Other 272323 BCBS
Florida Other G78663 BCBS

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