Keith, William R.
Keith, William R. is an individual health care provider with primary practice located at 2721 Del Prado Blvd S Suite 200, Cape Coral FL 33904-5781. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Keith, William R. can be contacted via phone (239) 772-3636.Contact Information
Primary practice address
2721 Del Prado Blvd S Suite 200
Cape Coral FL 33904-5781
Phone: (239) 772-3636
Fax: (239) 772-5073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME0050381 | Florida |
Profile Details
| NPI number | 1922001130 |
|---|---|
| LBN Legal business name | Keith, William R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Sep 9th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922001130 | NPPES |
| Florida | Other | 206855 | AVMED |
| Florida | Other | P00102099 | AVMED |
| Florida | Other | 4198736 | AVMED |
| Florida | Other | 08513 | AVMED |
| Florida | Other | 2499169 | AVMED |
| Florida | MEDICAID | 043671200 | AVMED |
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