Keith Myron Justice in St Augustine - Hematology & Oncology

Keith Myron Justice - NPI 1477558708

Keith Myron Justice is a Hematology & Oncology in St Augustine, Florida. Keith Myron Justice practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Keith Myron Justice is 1477558708. The last update date is 2023-03-07.

Keith Myron Justice's current location address is 2460 Old Moultrie Rd Ste 4, St Augustine, Florida. You can contact this provider via phone number 9045631482. The mailing address for Keith Myron Justice is 2460 Old Moultrie Rd Ste 4, St Augustine, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Keith Myron Justice
Address 2460 Old Moultrie Rd Ste 4, St Augustine, Florida
Phone Number 9045631482
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1477558708
Provider Enumeration Date 2005-06-14
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 2460 Old Moultrie Rd Ste 4
City St Augustine
State Florida (FL)
Post Code 3208641980
Phone Number 9045631482
Fax Number

Provider's Primary Taxonomy Detail

Speciality Hematology & Oncology
Taxonomy 207Rh0003X
Licence No ME 75770
Definition:
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
44678 FL BCBS
7174040 FL AETNA
255358900 FL --
272323 FL AVMED
G78663 FL UPIN

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FAQs about Keith Myron Justice

What is the unique 10-digit identification code assigned to Keith Myron Justice by the Centers for Medicare & Medicaid Services?

The Keith Myron Justice has been issued the NPI (National Provider Identifier) 1477558708, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Keith Myron Justice's facilities are situated?

The facilities of Keith Myron Justice are physically located at the following address: 2460 Old Moultrie Rd Ste 4, St Augustine, FL, 3208641980.

What is the Keith Myron Justice's area of specialization and corresponding taxonomy classification?

The Keith Myron Justice's specialty field is Hematology & Oncology, and it falls under the taxonomy code 207Rh0003X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1477558708 to Keith Myron Justice?

The Centers for Medicare & Medicaid Services assigned the 1477558708 to Keith Myron Justice on 2005-06-14.

As of what date were the Keith Myron Justice's details last updated?

The information pertaining to the Keith Myron Justice, including its address, specialty, and other details, was most recently updated on 2023-03-07.

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