Organization
KEF 17, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARIANNE YANTZ (HR)
(561) 507-0800
Entity
Organization
Contact information
Practice address
6919 N DALE MABRY HWY STE 325, TAMPA, FL 33614-3860
(561) 507-0800
Mailing address
2047 PALM BEACH LAKES BLVD STE 100, WEST PALM BEACH, FL 33409-6500
(516) 507-0800
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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