Brandon Nephrology Pa

NPI 1356492086 - Internal Medicine - 207RN0300X

NPI Details
NPI 1356492086
Enumeration Date 01/16/2007
Last Updated 06/18/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KEITH B KEITH
Position PRESIDENT
Phone (813) 681-8212
Fax (813) 654-0478
Practice Location
511 MEDICAL OAKS AVE
BRANDON FL, 33511-5961, US
Phone (813) 681-8212
Fax (813) 654-0478
Business Location
511 MEDICAL OAKS AVE
BRANDON FL, 33511-5961, US
Phone (813) 681-8212
Fax (813) 654-0478
Toxanomy
Taxonomy Code 207RN0300X
License State
License Number
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According to our database, Brandon Nephrology Pa NPI is 1356492086, taxonomy code is 207RN0300X Brandon Nephrology Pa physically located at 511 Medical Oaks Ave, Brandon FL, 33511-5961. NPI Number 1033115704 has the healthcare provider type.

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1356492086 NPI number is provided on an as is basis without warranty of any kind. 1356492086 is maintained by the National Plan & Provider Enumeration System. The contents of Brandon Nephrology Pa are for informational purposes only.