Miessau, Keith William
Miessau, Keith William is an sole proprietor health care provider with primary practice located at 655 Longwood Lake Mary Rd , Lake Mary FL 32746-3701. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Miessau, Keith William can be contacted via phone (407) 320-9753.Contact Information
Primary practice address
655 Longwood Lake Mary Rd
Lake Mary FL 32746-3701
Phone: (407) 320-9753
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | AL 1930 | Florida |
Profile Details
| NPI number | 1750357869 |
|---|---|
| LBN Legal business name | Miessau, Keith William |
| Credentials | ATC, LAT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Apr 29th, 2008 - about 17 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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