Individual
DR. KEISHA Y. DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21 COLUMBIA ST, ORLANDO, FL 32806-1133
(321) 842-4810
(321) 842-4809
Mailing address
21 COLUMBIA ST, ORLANDO, FL 32806-1133
(321) 842-4810
(321) 842-4809
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MA08016700
NJ
207V00000X
Obstetrics & Gynecology Physician
A100110
CA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
ME157180
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114827800
—
FL
Enumeration date
05/09/2007
Last updated
10/06/2022
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