Pautler, Keith B.
Pautler, Keith B. is an individual health care provider with primary practice located at 5751 Hoover Blvd , Tampa FL 33634-5340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Pautler, Keith B. can be contacted via phone (813) 886-8334.Contact Information
Primary practice address
5751 Hoover Blvd
Tampa FL 33634-5340
Phone: (813) 886-8334
Fax: (813) 490-7242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | ME0040797 | Florida |
Profile Details
| NPI number | 1306810791 |
|---|---|
| LBN Legal business name | Pautler, Keith B. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | May 24th, 2012 - about 12 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 | 1306810791 | NPPES |
| Florida | MEDICAID | 47315400 |
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