Female

Elizabeth J. Keane PAC

Physician Assistant in Jacksonville, FL(View on Map)

Full Name

Elizabeth J. Keane PAC

NPI Number

1063435600

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/25/2006

Specialties

(Taxonomies)

Code

363A00000X
2255A2300X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Florida

License Number

PA9106645
AL2050

Contact
Information

Purpose

Mailing
Location

Address

1325 SAN MARCO BLVD
14540 OLD SAINT AUGUSTINE RD

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32207-8568
32258-7418

Country

US
US

Telephone Number

(904) 346-3465
(904) 880-1260

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/26/2021

Provider Address

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