Keisch, Martin E

Keisch, Martin E is an individual health care provider with primary practice located at 9165 Park Dr , Miami Shores FL 33138-3163. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Keisch, Martin E can be contacted via phone (305) 545-6685.

Contact Information

Primary practice address
9165 Park Dr Miami Shores FL 33138-3163
Phone: (305) 545-6685
Fax: (305) 545-6687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME 62256 Florida

Profile Details

NPI number 1326018037
LBN Legal business name Keisch, Martin E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Sep 30th, 2019 - about 7 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 1326018037 NPPES
Florida MEDICAID 024162600

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