Organization
KEITH J KALISH DPM PA
Active
Organization
KEITH J KALISH DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH JAY KALISH D P M (OWNER-PRESIDENT)
(772) 465-3207
Entity
Organization
Contact information
Practice address
1285 36TH ST, SUITE 203, VERO BEACH, FL 32960-4885
(772) 567-0111
(772) 567-7117
Mailing address
2500 QUINCY AVE, FORT PIERCE, FL 34947-4766
(772) 465-3207
(772) 465-3235
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO-001790
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO-001790
STATE LIC#
FL
Enumeration date
11/06/2006
Last updated
05/07/2008
Update your record
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