Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | AK000251L | PA |
Y | 101Y00000X | Counselor | AP 713 | FL |
N | 101Y00000X | Counselor | DA00220 | RI |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | AK000251L | PA |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | AP 713 | FL |
N | 175F00000X | Naturopath | AP 713 | FL |
N | 175L00000X | Homeopath | AP 713 | FL |
N | 225400000X | Rehabilitation Practitioner | AP 713 | FL |
N | 225700000X | Massage Therapist | AP 713 | FL |
NPI | 1871629980 |
---|---|
Provider Name | Dr. Keith E. Maust |
First Address | Summerland Key, FL 33042-4421 |
Second Address | Key West, FL 33040-4663 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2007 |
Last Update Date | 23/10/2014 |