Individual
ERIC KEASLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 MICCOSUKEE RD # B, TALLAHASSEE, FL 32308-5054
(850) 431-7910
Mailing address
1300 MICCOSUKEE RD # B, TALLAHASSEE, FL 32308-5054
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME161337
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121058600
—
FL
Enumeration date
04/05/2017
Last updated
04/09/2026
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