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Individual

JUSTIN KEETON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
14540 OLD SAINT AUGUSTINE RD STE 2201, JACKSONVILLE, FL 32258-7418
(904) 880-9696
(904) 390-7452
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-1032
(904) 376-4107

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9336759
FL
363L00000X
Nurse Practitioner
ARNP9336759
FL

Other

Enumeration date
07/03/2018
Last updated
04/14/2023
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