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Individual

MS. ANTOINETTE KEATON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1490 NW 3RD AVE STE 106, MIAMI, FL 33136-1838
(786) 805-2993
Mailing address
1490 NW 3RD AVE STE 106, MIAMI, FL 33136-1838
(786) 805-2993

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
3747A0650X
Attendant Care Provider
Primary
376J00000X
Homemaker
385H00000X
Respite Care

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111415200
FL
Enumeration date
04/12/2022
Last updated
04/12/2022
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