Keller, Gary

Keller, Gary is an individual health care provider with primary practice located at 777 E 25Th St Suite 112, Hialeah FL 33013-3804. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Keller, Gary can be contacted via phone (305) 696-3444.

Contact Information

Primary practice address
777 E 25Th St Suite 112 Hialeah FL 33013-3804
Phone: (305) 696-3444
Fax: (305) 693-6656
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO2364 Florida

Profile Details

NPI number 1851371587
LBN Legal business name Keller, Gary
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Oct 22nd, 2014 - about 10 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 1851371587 NPPES
Florida MEDICAID 390168800

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