Individual
DR. DOUGLAS SCOTT KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5149 N 9TH AVE, PENSACOLA, FL 32504-8756
(850) 416-1080
(850) 416-1089
Mailing address
4205 BELFORT RD, STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6014
(904) 450-6401
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME128786
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017974800
—
FL
01
—
ME128786
FLORIDA MEDICAL LICENSURE
FL
01
—
P01853620
FLORIDA RR MEDICARE
FL
Enumeration date
11/28/2007
Last updated
07/21/2022
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