Individual
DR. KEITH L MULLENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
875 MILITARY TRL, JUPITER, FL 33458-5700
(561) 748-9828
(561) 630-4543
Mailing address
5555 ANGLERS AVE, STE 24, FORT LAUDERDALE, FL 33312-6653
(954) 962-6265
(954) 893-9595
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME89087
FL
Other
Enumeration date
06/06/2006
Last updated
02/18/2025
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