Individual
JEFFREY ROSS KEENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO/LPO
Contact information
Practice address
408 UPPER 36TH AVE S, JACKSONVILLE BEACH, FL 32250-3911
(904) 518-0268
Mailing address
408 UPPER 36TH AVE S, JACKSONVILLE BEACH, FL 32250-3911
(904) 518-0268
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
POR266
FL
224P00000X
Prosthetist
POR266
FL
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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