Keane, Michelle Ann

Keane, Michelle Ann is an sole proprietor health care provider with primary practice located at 9611 W Broward Blvd , Plantation FL 33324-2334. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Keane, Michelle Ann can be contacted via phone (954) 424-7000.

Contact Information

Primary practice address
9611 W Broward Blvd Plantation FL 33324-2334
Phone: (954) 424-7000
Fax: (954) 436-0449
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X ME108902 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME108902 Florida

Profile Details

NPI number 1922290402
LBN Legal business name Keane, Michelle Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2007
Last updated Feb 15th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922290402 NPPES
Florida MEDICAID 004160700

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