Individual
ANDREW MATTHEW KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
230 1ST ST SE, ST PETERSBURG, FL 33701-4343
(757) 876-8540
Mailing address
2350 4TH AVE N, SAINT PETERSBURG, FL 33713-7914
(757) 876-8540
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3351
FL
Other
Enumeration date
03/20/2021
Last updated
03/20/2021
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