Organization
KEITH J KALISH DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH JAY KALISH DPM (OWNER)
(772) 567-0111
Entity
Organization
Contact information
Practice address
1285 36TH ST STE 203, VERO BEACH, FL 32960-6588
(772) 567-0111
(772) 257-6521
Mailing address
1285 36TH ST STE 203, VERO BEACH, FL 32960-6588
(772) 567-0111
(772) 257-6521
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
PO-001790
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO-001790
STATE LIC#
FL
Enumeration date
12/14/2006
Last updated
04/13/2018
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