NPI | 1942482294 |
---|---|
Doing Business As | DR SHANE B KEAST OD PA |
Entity Type | Organization |
Authorized Contact | SHANE BENJAMIN KEAST Propriotor 407-927-6022 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL opc3857) |
Enumeration Date | 2007-11-28 |
Last Update Date | 2013-01-09 |