Dr. Keith Andrew Thatch
Pediatric Surgery
16230 Summerlin Rd Ste 215
Fort Myers
, Florida 33908-5769
Dr. Keith Andrew Thatch
Pediatric Surgery
16230 Summerlin Rd Ste 215
Fort Myers
, Florida 33908-5769
(239) 343-9909
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Dr. Keith Andrew Thatch
- Po Box 2147
- Fort Myers, FL
- Zip : 33902-2147
- Fax : (239) 343-9909
- Phone : (239) 343-6050
Second Address
- Dr. Keith Andrew Thatch
- 16230 Summerlin Rd Ste 215
- Fort Myers, FL
- Zip : 33908-5769
- Fax : (239) 343-9909
- Phone : (239) 343-6050
Reviews
FAQs
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Is Dr. Keith Andrew Thatch a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2086S0120X | Pediatric Surgery | M-15720 | ID |
| Y | 2086S0120X | Pediatric Surgery | ME134648 | FL |
National Provider Identifier
| NPI | 1053577742 |
|---|---|
| Provider Name | Dr. Keith Andrew Thatch |
| First Address | Fort Myers, FL 33902-2147 |
| Second Address | Fort Myers, FL 33908-5769 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/08/2008 |
| Last Update Date | 02/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 023296400 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.