Organization
FOCUS CLINIC, INC.
Active
Other names
FocusClinic-m2
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL KELLER M.D. (PRESIDENT)
(305) 776-0060
Entity
Organization
Contact information
Practice address
12712 N WINNERS CIR, DAVIE, FL 33330-4322
(305) 776-0060
Mailing address
12712 N WINNERS CIR, DAVIE, FL 33330-4322
(305) 776-0060
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME87905
FL
235Z00000X
Speech-Language Pathologist
SA14531
FL
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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