RH Keller, M.D., Dba Biodoron

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0058991 Issued in FL

Legal business name

RH KELLER, M.D., DBA BIODORON

Practice address

5821 Hollywood Blvd
Hollywood, FL 33021-6308

Phone

(954) 981-9400

Fax

(954) 981-9443

NPI assigned

Dec 7, 2007

Last updated

Jun 11, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Stacy Oconnor

Title

Manager

Phone

(954) 981-9400

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1336322759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216308",
            "telephone_number": "954-981-9400",
            "fax_number": "954-981-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216308",
            "telephone_number": "954-981-9400",
            "fax_number": "954-981-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RH KELLER, M.D., DBA BIODORON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "OCONNOR",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-981-9400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0058991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Hollywood, FL
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• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.