Keenan, Robert James

Keenan, Robert James is an individual health care provider with primary practice located at 12902 Usf Magnolia Dr Moffitt Cancer Center, Tampa FL 33612-9416. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Keenan, Robert James can be contacted via phone (813) 745-6080.

Contact Information

Primary practice address
12902 Usf Magnolia Dr Moffitt Cancer Center Tampa FL 33612-9416
Phone: (813) 745-6080
Fax: (813) 449-8788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD044187E Pennsylvania
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MD044187E Pennsylvania
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME 123918 Florida
Allopathic & Osteopathic Physicians / Surgery 208600000X ME 123918 Florida

Profile Details

NPI number 1932100906
LBN Legal business name Keenan, Robert James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Apr 24th, 2015 - about 11 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 1932100906 NPPES
Ohio MEDICAID 0962472
Ohio MEDICAID 125606000
Ohio MEDICAID 0012900680007

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