Individual
NATHANIEL A KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(407) 262-2220
(407) 834-5011
Mailing address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(407) 262-2220
(407) 834-5011
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME87905
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016613800
—
FL
Enumeration date
08/07/2007
Last updated
10/29/2020
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