Individual
FAISAL S KEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-4896
(941) 917-6884
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME122684
FL
208M00000X
Hospitalist Physician
261611
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03244520
—
NY
01
—
33181
FLORIDA BLUE
FL
Enumeration date
09/03/2008
Last updated
07/31/2015
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