Organization
KEJARO MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH JAMAL ROBINSON MD (MANAGER)
(954) 564-7976
Entity
Organization
Contact information
Practice address
2825 N STATE ROAD 7, SUITE 201, MARGATE, FL 33063-5737
(954) 972-4900
(954) 917-4940
Mailing address
PO BOX 4008, FORT LAUDERDALE, FL 33338-4008
(954) 564-7976
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A83200
CA
207R00000X
Internal Medicine Physician
ME86367
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A83200
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME86367
FL
207RP1001X
Pulmonary Disease Physician
A83200
CA
207RP1001X
Pulmonary Disease Physician
Primary
ME86367
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276264100
—
FL
Enumeration date
02/18/2009
Last updated
05/07/2009
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