DR. JOLAN CSUS KELLER (NPI# 1750443271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750443271 |
| Entity Type | Individual |
| Full Name | DR. JOLAN CSUS KELLER |
| Credential | M.D. |
| Practice Address |
3800 Citigroup Center Tampa FL 33610 |
| Mailing Address |
7245 River Forest Ln Tampa FL 33617-2612 |
| Practice Telephone | 8136044336 |
| Practice Fax Number | 8136044337 |
| Mailing Telephone | 8135411575 |
| Mailing Fax Number | 8134369593 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
ME81580 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
3800 CITIGROUP CENTER |
| City | TAMPA |
| State | FL |
| Zip Code | 33610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273161 | Mayra Iris Pesante Lopez | Behavior Technician | 10150 Highlands Manor Drive Suite 200, Tampa, FL 33610 | 2019-09-11 |
| 1902464381 | Ruth Hosen Milfort | Case Manager/Care Coordinator | 5707 N. 22nd Street, Tampa, FL 33610 | 2019-05-31 |
| 1265914626 | Universal Transportation Management Inc | Non-emergency Medical Transport (VAN) | 4108 N 22nd Street, Tampa, FL 33610 | 2018-09-02 |
| 1346759115 | Speedway Plus 2 Car Care Center LLCc | Residential Treatment Facility, Physical Disabilities | 8007 Glenoak Rd., Tampa, FL 33610 | 2017-09-25 |
| 1245757707 | Duy Dang | Behavioral Analyst | 4402 Claymore Dr Unit 203, Tampa, FL 33610 | 2017-08-25 |
| 1144745043 | Jonequa Baker | Home Health Aide | 709 North Castle Court, Tampa, FL 33610 | 2017-08-11 |
| 1619401338 | Dedicated Senior Medical Center East Tampa, LLC. | Non-Pharmacy Dispensing Site | 3128 East Hillsborough Avenue, Dedicated Senior Medical Center East Tampa, LLC., Tampa, FL 33610 | 2017-04-19 |
| 1669917423 | Olivia Anderson | Counselor | 10150 Highland Manor Dr Ste 200#108, Tampa, FL 33610 | 2017-01-03 |
| 1952779050 | Tampa Family Health Centers, Inc | Clinic/Center | 3100 E. Fletcher Avenue, Tampa, FL 33610 | 2015-09-04 |
| 1215303821 | Morissa Kidd | Technician, Other | 8062 Deerwood Circle, Tampa, FL 33610 | 2015-08-18 |
| Find all providers in zip 33610 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811436884 | Healthstat Onsite Clinic Mosaic Highland Oaks | Preventive Medicine | 10210 Highland Manor Dr Ste 350, Tampa, FL 33610-9177 | 2017-02-23 |
| 1235349127 | Fathy Zaki Saad | Preventive Medicine | 20353 Chestnut Grove Dr, Tampa, FL 33647-3345 | 2007-05-22 |
| 1851358782 | Eve Norton Hanna | Preventive Medicine | 13000 Bruce B Downs Blvd, Tampa, FL 33612-4745 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606631 | Healthstat Wellness Health Center John Knox Village | Preventive Medicine | 500 South West 3rd Street, Suite 100, Pompano Beach, FL 33060 | 2020-10-14 |
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1912463746 | Healthstat Wellness Pasco Land O Lakes | Preventive Medicine | 4111 Land O Lakes Blvd Ste 301, Land O Lakes, FL 34639-4403 | 2019-02-18 |
| 1467902353 | Healthstat Onsite Clinic Mosaic South Pierce | Preventive Medicine | 7450 Hwy 630, Mulberry, FL 33860 | 2016-10-04 |
| 1427418003 | Healthstat Onsite Clinic Duette | Preventive Medicine | 1295 Duette Rd, Duette, FL 34219-7921 | 2016-02-25 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1588054514 | Healthstat Onsite Clinic Mosaic Plant City | Preventive Medicine | 10608 Paul Buchman Hwy, Plant City, FL 33565 | 2015-01-29 |
| 1356740757 | Healthstat Onsite Clinic- Mosaic Mulberry | Preventive Medicine | 3095 Highway 640 West, Mulberry, FL 33860 | 2014-08-21 |
| 1538568936 | Healthstat Onsite Clinic- Mosaic Bradley | Preventive Medicine | 11200 State Rd. 37 South, Bradley, FL 33835 | 2014-08-21 |
| 1538568019 | Healthstat Onsite Clinic- Mosaic Ft. Meade | Preventive Medicine | 5880 Manley Rd, Fort Meade, FL 33841-9257 | 2014-08-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.