Individual
DR. KEITH B. PAUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
5751 HOOVER BLVD, TAMPA, FL 33634-5340
(813) 886-8334
(813) 490-7242
Mailing address
5751 HOOVER BLVD, TAMPA, FL 33634-5340
(813) 886-8334
(813) 490-7242
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME0040797
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47315400
—
FL
Enumeration date
02/14/2006
Last updated
05/24/2012
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