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Keith Myron Justice, MD
Hematology & Oncology Physician in St Augustine, Florida
NPI 1477558708

Keith Myron Justice is a Hematology & Oncology Physician based in St Augustine, FL and is specialized in Hematology & Oncology. Keith Myron Justice practices in St Augustine, FL and has the professional credentials of MD. The NPI Number for Keith Myron Justice is 1477558708 and holds a License No. ME 75770 (Florida).

The current practice location address for Keith Myron Justice is 2460 Old Moultrie Rd Ste 4, St Augustine, FL and can be reached out via phone at 904-563-1482.

Location: 2460 Old Moultrie Rd Ste 4, St Augustine, FL, 32086-4198
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477558708
Provider Name
Keith Myron Justice
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2460 Old Moultrie Rd Ste 4, St Augustine, FL, 32086-4198
Phone Number
904-563-1482
Fax Number
Provider Enumeration Date
06/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
44678 01 FL BCBS
7174040 01 FL AETNA
255358900 05 FL
272323 01 FL AVMED
G78663 01 FL UPIN
institution
Provider Business Practice Location Address Details
Address
2460 Old Moultrie Rd Ste 4
City
St Augustine
State
Florida
Zip
32086-4198
Phone Number
904-563-1482
Fax Number
person
Provider Business Mailing Address Details
Address
2460 Old Moultrie Rd Ste 4
City
St Augustine
State
Florida
Zip
32086-4198
Phone Number
904-563-1482
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
ME 75770 (Florida)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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