# KEYES SURGICAL ASSIST INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356494777
- **Authorized official:** MR. JAMES MILLER KEYES PA-C (PHYSICIAN ASSISTANT CERTIFIED)
- **Authorized official phone:** (772) 398-9763

## Contact information

- **Practice address:** 1700 S 23RD ST, FORT PIERCE, FL 34950-4803
- **Practice address phone:** (772) 461-4000
- **Practice address fax:** (772) 467-2856
- **Mailing address:** 132 WIDE RIVER CV, STUART, FL 34994-9132
- **Mailing address phone:** (772) 398-9763
- **Mailing address fax:** (772) 337-7548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | PA2081 | FL | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 11/20/2007