Keller, Paul M
Keller, Paul M is an individual health care provider with primary practice located at 2222 S. Harbor City Blvd Suite 420, Melbourne FL 32901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as her primary health care specialty. Keller, Paul M can be contacted via phone (321) 768-9914.Contact Information
Primary practice address
2222 S. Harbor City Blvd Suite 420
Melbourne FL 32901
Phone: (321) 768-9914
Fax: (321) 953-1893
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | ME65934 | Florida |
Profile Details
NPI number | 1689677817 |
---|---|
LBN Legal business name | Keller, Paul M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 23rd, 2005 |
Last updated | Oct 31st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689677817 | NPPES |
Florida | MEDICAID | 120064400 | |
Florida | Other | RX278 |
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