Individual
ELIZABETH J. KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
14540 OLD SAINT AUGUSTINE RD, SUITE 2201, JACKSONVILLE, FL 32258-7418
(904) 880-1260
(904) 880-1210
Mailing address
1325 SAN MARCO BLVD, SUITE 701, JACKSONVILLE, FL 32207-8568
(904) 346-3465
(904) 858-6490
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AL2050
FL
363A00000X
Physician Assistant
Primary
PA9106645
FL
Other
Enumeration date
07/25/2006
Last updated
03/26/2021
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