Keith R Bucklen in Miramar - Family Medicine
Keith R Bucklen - NPI 1093877292
Keith R Bucklen is a Family Medicine in Miramar, Florida. Keith R Bucklen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Keith R Bucklen is 1093877292. The last update date is 2012-10-01.
Keith R Bucklen's current location address is 3601 Sw 160th Ave, Miramar, Florida. You can contact this provider via phone number 8778667123. The mailing address for Keith R Bucklen is 3601 Sw 160th Ave, Miramar, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith R Bucklen |
|---|---|
| Address | 3601 Sw 160th Ave, Miramar, Florida |
| Phone Number | 8778667123 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093877292 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2012-10-01 |
Provider Mailing Address Detail
| Address | 3601 Sw 160th Ave |
|---|---|
| City | Miramar |
| State | Florida (FL) |
| Post Code | 330276308 |
| Phone Number | 8778667123 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 2005-01383 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 140UU | NC | BCBS GROUP NUMBER | |
| 5901752 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Keith R Bucklen by the Centers for Medicare & Medicaid Services?
The Keith R Bucklen has been assigned the NPI (National Provider Identifier) 1093877292 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Keith R Bucklen is geographically located?
The Keith R Bucklen is physically situated at the following location: 3601 Sw 160Th Ave, Miramar, FL, 330276308.
What is Keith R Bucklen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Keith R Bucklen is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date was the 1093877292 assigned to Keith R Bucklen?
The Keith R Bucklen was issued its 1093877292 on 2006-12-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Keith R Bucklen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Keith R Bucklen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-01.