Haas, Keeley
Haas, Keeley is an individual health care provider with primary practice located at 807 S Orlando Ave Suite C, Winter Park FL 32789-4870. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Haas, Keeley can be contacted via phone (407) 515-2211.Contact Information
Primary practice address
807 S Orlando Ave Suite C
Winter Park FL 32789-4870
Phone: (407) 515-2211
Fax: (407) 309-5412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9217704 | Florida |
Profile Details
| NPI number | 1376871764 |
|---|---|
| LBN Legal business name | Haas, Keeley |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2009 |
| Last updated | Sep 1st, 2016 - about 10 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 | 1376871764 | NPPES |
| Florida | MEDICAID | 009189100 |
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