Individual
DR. GARY KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
777 E 25TH ST, SUITE 112, HIALEAH, FL 33013-3804
(305) 696-3444
(305) 693-6656
Mailing address
8200 NW 27 ST, STE 108, DORAL, FL 33122-1906
(786) 662-3893
(786) 662-3899
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2364
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390168800
—
FL
Enumeration date
01/19/2006
Last updated
10/22/2014
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