Provider Demographics
NPI:1275597833
Name:KEYS, MARA FAITH (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MARA
Middle Name:FAITH
Last Name:KEYS
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:9317 HERITAGE OAK CT
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2536
Mailing Address - Country:US
Mailing Address - Phone:813-991-7988
Mailing Address - Fax:866-299-3968
Practice Address - Street 1:1300 BRUCE B DOWNS BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-9217
Practice Address - Country:US
Practice Address - Phone:813-972-2000
Practice Address - Fax:813-903-4874
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2009-01-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA3540363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant