Individual
WILLIAM R. KEITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2721 DEL PRADO BLVD S, SUITE 200, CAPE CORAL, FL 33904-5781
(239) 772-3636
(239) 772-5073
Mailing address
2721 DEL PRADO BLVD S, SUITE 200, CAPE CORAL, FL 33904-5781
(239) 772-3636
(239) 772-5073
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME0050381
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043671200
—
FL
01
—
08513
BCBS
FL
01
—
206855
AVMED
FL
01
—
2499169
GHI
FL
01
—
4198736
AETNA
FL
01
—
P00102099
RAILROAD MEDICARE
FL
Enumeration date
05/23/2005
Last updated
09/09/2010
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