Provider Demographics
NPI:1528039674
Name:KEYES, DAVID BARRY (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BARRY
Last Name:KEYES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9408 SW 87TH AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2416
Mailing Address - Country:US
Mailing Address - Phone:305-595-2550
Mailing Address - Fax:305-595-2555
Practice Address - Street 1:9408 SW 87TH AVE STE 300
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2416
Practice Address - Country:US
Practice Address - Phone:305-595-2550
Practice Address - Fax:305-595-2555
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0047325207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL300010102OtherRAILROAD MEDICARE
FL556321OtherAETNA ID NUMBER
FL08384OtherBCS ID NUMBER
10712855OtherCAQH ID NUMBER
374544200OtherUS DEPT OF LABOR ID
FL257813OtherAVMED INS ID
FL1688890OtherCIGNA ID NUMBER
FL1688890OtherCIGNA ID NUMBER
FL556321OtherAETNA ID NUMBER
374544200OtherUS DEPT OF LABOR ID
08384Medicare ID - Type UnspecifiedMEDICARE
FL08384ZMedicare PIN