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BRIDGET J KELLER MD LLC NPI 1295998714


NPI Information

NPI: 1295998714
Provider Name: BRIDGET J KELLER MD LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
2401 UNIVERSITY PKWY
SUITE 204
SARASOTA, FL
ZIP 34243
Phone: (941) 379-8830
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BRIDGET J KELLER MD LLC is a neurology psychiatry neurology in Sarasota, FL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. BRIDGET J KELLER MD LLC NPI is 1295998714. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2401 UNIVERSITY PKWY
SUITE 204
SARASOTA, FL
ZIP 34243-893
Phone: (941) 379-8830
Fax: (941) 360-0557

The provider's authorized official is Bridget Jean Keller .
The authorized official title is Ceo and has the following contact phone number (941) 201-2261.

The enumeration date for this NPI number is 7/3/2008 and was last updated on 7/31/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyME97313FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AW840MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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