Individual
DR. PAUL M KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2222 S HARBOR CITY BLVD STE 420, MELBOURNE, FL 32901-5591
(321) 768-9914
(321) 953-1893
Mailing address
2222 S HARBOR CITY BLVD STE 420, MELBOURNE, FL 32901-5591
(321) 768-9914
(321) 953-1893
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME65934
FL
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
ME65934
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120064400
—
FL
01
—
RX278
MEDICARE HF
FL
Enumeration date
05/23/2005
Last updated
07/22/2024
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