Keller & Goodman Md, Pa

NPI 1225168701 - Internal Medicine - 207RG0100X

NPI Details
NPI 1225168701
Enumeration Date 03/06/2007
Last Updated 07/08/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JEFFREY ALAN JEFFREY
Position OWNER
Phone (352) 742-7776
Fax (352) 742-7750
Practice Location
1879 NIGHTINGALE LN
SUITE C-2
TAVARES FL, 32778-4363, US
Phone (352) 742-7776
Fax (352) 742-7750
Business Location
1879 NIGHTINGALE LN
SUITE C-2
TAVARES FL, 32778-4363, US
Phone (352) 742-7776
Fax (352) 742-7750
Toxanomy
Taxonomy Code 207RG0100X
License State Florida
License Number ME66294
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According to our database, Keller & Goodman Md, Pa NPI is 1225168701, taxonomy code is 207RG0100X and license number is ME66294, license state is located at Florida. Keller & Goodman Md, Pa physically located at 1879 Nightingale Ln, Tavares FL, 32778-4363. NPI Number 1033115704 has the healthcare provider type.

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1225168701 NPI number is provided on an as is basis without warranty of any kind. 1225168701 is maintained by the National Plan & Provider Enumeration System. The contents of Keller & Goodman Md, Pa are for informational purposes only.