Individual
DR. KEITH ANDREW SKOLNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
850 SOUTH PINE ISLAND RD., STE A100, PLANTATION, FL 33324
(754) 741-5555
(954) 741-6298
Mailing address
PO BOX 39209, FT. LAUDERDALE, FL 33339
(954) 851-9966
(954) 318-7360
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME80026
FL
207W00000X
Ophthalmology Physician
Primary
ME80026
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180041647
RAILROAD MEDICARE
FL
01
—
2436810
AETNA
FL
05
—
259102200
—
FL
01
—
271132
COMPBENEFITS CORPORATION
FL
01
—
49945
BLUE CROSS BLUE SHEILD
FL
01
—
650560968
HUMANA
FL
Enumeration date
08/12/2005
Last updated
03/23/2021
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