Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | OS14586 | FL |
NPI | 1104112689 |
---|---|
Provider Name | Sean Keyes |
First Address | Orlando, FL 32804-4674 |
Second Address | Orlando, FL 32804-4674 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2011 |
Last Update Date | 18/07/2017 |