Doctor Name: | KEITH BERNARD PAREDES |
NPI Number: | 1801884366 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME37695 |
Business Practice Address: | 2020 E Georgia St Bartow, FL - 338306709 |
Business Phone Number: | 8635197916 |
Business Fax Number: | 8635347142 |
Mailing Address: | 1290 Golfview Ave, Attn: Accounts Receivable BARTOW |
State: | FL |
Postal Code: | 338306703 |
Phone Number: | 8635197900 |
Fax Number: | 8635197696 |
NPI Enumeration Date: | 10/10/2005 |
NPI Last Update Date: | 02/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | ME37695 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |