person
Dr. Keith Andrew Thatch, MD
Pediatric Surgery Physician in St Petersburg, Florida
NPI 1053577742

Keith Andrew Thatch is a Pediatric Surgery Physician based in St Petersburg, FL and is specialized in Pediatric Surgery. Keith Andrew Thatch practices in St Petersburg, FL and has the professional credentials of MD. The NPI Number for Keith Andrew Thatch is 1053577742 and holds a License No. M-15720 (Florida).

The current practice location address for Keith Andrew Thatch is 601 5Th St S Ste 306, St Petersburg, FL and can be reached out via phone at 727-767-3439 and via fax at 727-767-4346.

Location: 601 5Th St S Ste 306, St Petersburg, FL, 33701-4804
person
Provider Profile Details
NPI Number
1053577742
Provider Name
Keith Andrew Thatch
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
601 5Th St S Ste 306, St Petersburg, FL, 33701-4804
Phone Number
727-767-3439
Fax Number
727-767-4346
Provider Enumeration Date
08/01/2008
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
023296400 05 FL
institution
Provider Business Practice Location Address Details
Address
601 5Th St S Ste 306
City
State
Zip
33701-4804
Phone Number
727-767-3439
Fax Number
727-767-4346
person
Provider Business Mailing Address Details
Address
601 5Th St S Ste 306
City
State
Zip
33701-4804
Phone Number
727-767-3439
Fax Number
727-767-4346
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
License No.
M-15720 (Idaho)
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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