Individual
JOSEPH T KEELEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-5600
Mailing address
500 WINDERLEY PL, SUITE 115, MAITLAND, FL 32751-7247
(407) 875-0555
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA0002593
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292205300
—
FL
01
—
970026904
RR MEDICARE
FL
Enumeration date
10/07/2005
Last updated
10/09/2009
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