Individual
KEITH BERNARD PAREDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 E GEORGIA ST, BARTOW, FL 33830-6709
(863) 519-7916
(863) 534-7142
Mailing address
1290 GOLFVIEW AVE, ATTN: ACCOUNTS RECEIVABLE, BARTOW, FL 33830-6703
(863) 519-7900
(863) 519-7696
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME37695
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267935300
—
FL
Enumeration date
10/10/2005
Last updated
02/11/2013
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