William B Keller in North Port - Physician Assistant
William B Keller - NPI 1033259296
William B Keller is a Physician Assistant in North Port, Florida. William B Keller practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for William B Keller is 1033259296. The last update date is 2020-02-10.
William B Keller's current location address is 14400 Tamiami Trl, North Port, Florida. You can contact this provider via phone number 9414235056 and fax number 9414235068. The mailing address for William B Keller is 14400 Tamiami Trl, North Port, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William B Keller |
|---|---|
| Address | 14400 Tamiami Trl, North Port, Florida |
| Phone Number | 9414235056 |
| Fax Number | 9414235068 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1033259296 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2020-02-10 |
Provider Mailing Address Detail
| Address | 14400 Tamiami Trl |
|---|---|
| City | North Port |
| State | Florida (FL) |
| Post Code | 342872703 |
| Phone Number | 9414235056 |
| Fax Number | 9414235068 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA 3132 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12605910 | FL | CAQH | |
| 54084 | FL | BC/BS | |
| PA 3132 | FL | PA LICENSE |
Post Comment/ Review Below
What is the William B Keller's unique identification number?
The William B Keller has been assigned the NPI (National Provider Identifier) Number 1033259296 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where William B Keller is physically located?
The William B Keller is situated at the following address: 14400 Tamiami Trl, North Port, FL 342872703.
What is William B Keller's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for William B Keller is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date was the 1033259296 assigned to William B Keller?
The William B Keller was issued its 1033259296 on 2007-02-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding William B Keller most recently updated?
The details pertaining to the William B Keller, including its address, specialty, and other relevant information, were last refreshed on 2020-02-10.