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Organization
JOANNE M KELLER ARNP WOMENS HEALTH & WELLNESS PRACTICE PA
Active
Organization
JOANNE M KELLER ARNP WOMENS HEALTH & WELLNESS PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE M KELLER (ARNP)
(352) 385-2631
Entity
Organization
Contact information
Practice address
3643 LAKE CENTER DR, MOUNT DORA, FL 32757-2364
(352) 385-2631
(352) 385-2639
Mailing address
3643 LAKE CENTER DR, MOUNT DORA, FL 32757-2364
(352) 385-2631
(352) 385-2639
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3371562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AI138
MEDICARE PTAN
—
Enumeration date
01/14/2008
Last updated
03/17/2008
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