| Leila M Keeler, DO | |
|
3340 Waterman Way, Tavares, FL 32778-5250 | |
| (352) 589-6005 | |
| (352) 589-6012 |
| Full Name | Leila M Keeler |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 3340 Waterman Way, Tavares, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871759928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | DO168285 (Oregon) | Secondary |
| 207V00000X | Obstetrics & Gynecology | OS17373 (Florida) | Primary |
| Entity Name | Good Shepherd Health Care System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295789667 PECOS PAC ID: 9133033764 Enrollment ID: O20031118000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Leila M Keeler, DO 3340 Waterman Way, Tavares, FL 32778-5250 Ph: (352) 589-6005 | Leila M Keeler, DO 3340 Waterman Way, Tavares, FL 32778-5250 Ph: (352) 589-6005 |
Dr. Lawrence Jay Goldman, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3172 Antigua Bay Ln, Tavares, FL 32778 Phone: 352-343-2414 | |
Eva Takacs-dilorenzo, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3340 Waterman Way, Tavares, FL 32778 Phone: 352-589-6005 Fax: 352-589-6012 | |
Dr. Wendy Sharon Perrott, M.D Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1840 Classique Ln, Tavares, FL 32778 Phone: 352-483-3730 Fax: 352-508-9661 | |
Mamie Mesie Rogers, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3340 Waterman Way, Tavares, FL 32778 Phone: 352-589-6005 Fax: 352-589-6012 |