Individual
KEITH ERIC SOMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 TAMPA GENERAL CIR STE 860, TAMPA, FL 33606-3573
(813) 660-6950
(813) 660-6622
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 660-6950
(813) 660-6622
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME74265
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250809500
—
FL
01
—
32184
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/01/2006
Last updated
06/09/2021
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