Organization
KEYS CARDIOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM W RICHARDSON DO (OWNER/PRESIDENT)
(239) 369-4088
Entity
Organization
Contact information
Practice address
391 LEE BLVD, SUITE 300, LEHIGH ACRES, FL 33936-4973
(239) 369-4088
(239) 369-0588
Mailing address
PO BOX 220, LEHIGH ACRES, FL 33970-0220
(239) 369-4088
(239) 369-0588
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OS4428
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374798100
—
FL
01
—
82480
BLUE CROSS
FL
Enumeration date
09/16/2006
Last updated
01/28/2015
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