Provider Demographics
NPI:1790717544
Name:NATALIA KEYSER MD PA
Entity Type:Organization
Organization Name:NATALIA KEYSER MD PA
Other - Org Name:NAPLES PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KEYSER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-649-1010
Mailing Address - Street 1:130 TAMIAMI TRL N
Mailing Address - Street 2:SUITE 110
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-6224
Mailing Address - Country:US
Mailing Address - Phone:239-649-1010
Mailing Address - Fax:239-649-0101
Practice Address - Street 1:130 TAMIAMI TRL N
Practice Address - Street 2:SUITE 110
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-6224
Practice Address - Country:US
Practice Address - Phone:239-649-1010
Practice Address - Fax:239-649-0101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2008-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDG8463OtherRAILROAD MEDICARE
FLDG8463OtherRAILROAD MEDICARE