Individual
DR. WILLIAM RYAN KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(305) 666-6511
Mailing address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
ME111404
FL
208000000X
Pediatrics Physician
ME0085813
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269189200
—
FL
01
—
47942
BCBS
FL
Enumeration date
07/04/2006
Last updated
06/20/2024
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