Elizabeth J. Keane A.T.

NPI 1063435600 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1063435600
Gender Female
Enumeration Date 07/25/2006
Last Updated 07/25/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
14540 OLD SAINT AUGUSTINE RD
SUITE 2201
JACKSONVILLE FL, 32258-7418, US
Phone (904) 880-1260
Fax (904) 880-1210
Business Location
1325 SAN MARCO BLVD
SUITE 701
JACKSONVILLE FL, 32207-8568, US
Phone (904) 346-3465
Fax (904) 858-6490
Toxanomy
Taxonomy Code 2255A2300X
License State Florida
License Number AL2050
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According to our database, Elizabeth J. Keane A.T. NPI is 1063435600, taxonomy code is 2255A2300X and license number is AL2050, license state is located at Florida. Elizabeth J. Keane A.T. physically located at 14540 Old Saint Augustine Rd, Jacksonville FL, 32258-7418. NPI Number Elizabeth J. Keane A.T. has the Individual type.

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1063435600 NPI number is provided on an as is basis without warranty of any kind. 1063435600 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth J. Keane A.T. are for informational purposes only.