Active NPI
Patti K Keefe, C.F.A.
- Surgical Assistant
- Altamonte Springs, FL
National Provider Identifier
1659565380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 93052
- Practice address
- 353 Cedarbrook LN
Altamonte Springs, FL 32714-3621 - Phone
- (407) 782-6110
- Fax
- (407) 788-1644
- NPI assigned
- Sep 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 93052 | FL | Primary |
Addresses
Primary practice location
353 Cedarbrook LN
Altamonte Springs, FL 32714-3621
Mailing address
PO Box 953908
Lake Mary, FL 32795-3908
Phone (407) 328-0825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93052 | FL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331683200000",
"number": "1659565380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 953908",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327953908",
"telephone_number": "407-328-0825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 CEDARBROOK LN",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327143621",
"telephone_number": "407-782-6110",
"fax_number": "407-788-1644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEFE",
"first_name": "PATTI",
"middle_name": "K",
"credential": "C.F.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2012-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "93052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.