Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP2300X | Nurse Practitioner - Primary Care | 9277188 | FL |
N | 363LP2300X | Nurse Practitioner - Primary Care | RN9277188 | FL |
NPI | 1053725325 |
---|---|
Provider Name | Mrs. Julie Wilding Keating |
First Address | Tampa, FL 33602-6799 |
Second Address | Belleair Bluffs, FL 33770-2620 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2014 |
Last Update Date | 13/10/2020 |