Individual
KEITH JOSEPH BASLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1139 NIKKI VIEW DR, BRANDON, FL 33511-4879
(813) 879-8045
(813) 685-2477
Mailing address
10002 PRINCESS PALM AVE STE 332, TAMPA, FL 33619-8327
(813) 571-7184
(813) 654-4695
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME135348
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/23/2013
Last updated
05/09/2018
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