Individual
JENNY CARTER KEEFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
60 COLUMBIA ST STE 400, ORLANDO, FL 32806-1115
(321) 843-5851
(321) 843-7381
Mailing address
60 COLUMBIA ST STE 400, ORLANDO, FL 32806-1115
(321) 843-5851
(321) 843-7381
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9109352
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016687400
—
FL
Enumeration date
12/21/2015
Last updated
01/05/2025
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