Keller, Paul M

Keller, Paul M is an individual health care provider with primary practice located at 2222 S. Harbor City Blvd Suite 420, Melbourne FL 32901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as her primary health care specialty. Keller, Paul M can be contacted via phone (321) 768-9914.

Contact Information

Primary practice address
2222 S. Harbor City Blvd Suite 420 Melbourne FL 32901
Phone: (321) 768-9914
Fax: (321) 953-1893
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X ME65934 Florida

Profile Details

NPI number 1689677817
LBN Legal business name Keller, Paul M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Oct 31st, 2023 - about 3 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 1689677817 NPPES
Florida MEDICAID 120064400
Florida Other RX278

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