JEFFREY ROSS KEENER

JACKSONVILLE BEACH, FL
NPI1437846235
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy222Z00000X 
(Licence: FL  POR266)
Additional Taxonomies224P00000X Prosthetist
(Licence: FL  POR266)
Enumeration Date2023-04-20
Last Update Date2023-04-20
Business Address
JEFFREY ROSS KEENER CPO/LPO
408 UPPER 36TH AVE S
JACKSONVILLE BEACH, FL 32250-3911
Phone number: 904-518-0268
Mailing Address
JEFFREY ROSS KEENER CPO/LPO
408 UPPER 36TH AVE S
JACKSONVILLE BEACH, FL 32250-3911
Phone number: 904-518-0268