| Doctor Name: | DR. MOULTON KEANE |
| NPI Number: | 1801885538 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME42167 |
| Business Practice Address: | 717 Ponce De Leon Blvd Suite 218 Coral Gables, FL - 331342060 |
| Business Phone Number: | 7865342836 |
| Business Fax Number: | 7864311289 |
| Mailing Address: | 151 N Nob Hill Rd, Suite 136 PLANTATION |
| State: | FL |
| Postal Code: | 333241708 |
| Phone Number: | 9546071493 |
| Fax Number: | 9548270229 |
| NPI Enumeration Date: | 10/15/2005 |
| NPI Last Update Date: | 09/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | ME42167 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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. |