Organization
DR SHANE B KEAST OD PA
Active
Other names
Dr Shane B Keast OD PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE BENJAMIN KEAST O.D. (PROPRIOTOR)
(407) 927-6022
Entity
Organization
Contact information
Practice address
3817 E COLONIAL DR, ORLANDO, FL 32803-5207
(407) 897-3582
Mailing address
1335 FAIRHAVEN CT, OVIEDO, FL 32766-6697
(407) 927-6022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3857
FL
Other
Enumeration date
11/28/2007
Last updated
01/09/2013
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