Keeley, Tanya B.

Keeley, Tanya B. is an individual health care provider with primary practice located at 1200 7Th Ave N , Saint Petersburg FL 33705-1300. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Keeley, Tanya B. can be contacted via phone (727) 825-1100.

Contact Information

Primary practice address
1200 7Th Ave N Saint Petersburg FL 33705-1300
Phone: (727) 825-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101504 Florida

Profile Details

NPI number 1558307066
LBN Legal business name Keeley, Tanya B.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Aug 22nd, 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 1558307066 NPPES
Florida Other Y00S1 BLUE CROSS BLUE SHIELD
Florida MEDICAID 291815300 BLUE CROSS BLUE SHIELD

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