Individual
DR. KEITH ANDREW THATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 5TH ST S STE 306, ST PETERSBURG, FL 33701-4804
(727) 767-3439
(727) 767-4346
Mailing address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 767-4170
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
0101280591
VA
2086S0120X
Pediatric Surgery Physician
M-15720
ID
2086S0120X
Pediatric Surgery Physician
Primary
ME134648
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023296400
—
FL
Enumeration date
08/01/2008
Last updated
08/20/2024
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