Marshall, Elizabeth Keeler

Marshall, Elizabeth Keeler is an individual health care provider with primary practice located at 1411 S 14Th St Ste B , Fernandina Beach FL 32034-3092. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Marshall, Elizabeth Keeler can be contacted via phone (904) 261-7221.

Contact Information

Primary practice address
1411 S 14Th St Ste B Fernandina Beach FL 32034-3092
Phone: (904) 261-7221
Fax: (904) 261-1857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9106747 Florida
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9106747 Florida

Profile Details

NPI number 1710237276
LBN Legal business name Marshall, Elizabeth Keeler
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2012
Last updated Jan 5th, 2022 - about 2 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 1710237276 NPPES
Florida Other LK444 MEDICARE
Florida Other Y0QS5 MEDICARE
Florida MEDICAID 103385300 MEDICARE

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