Provider Demographics
NPI:1144286428
Name:STOLTE, KEITH B (MD)
Entity type:Individual
Prefix:
First Name:KEITH
Middle Name:B
Last Name:STOLTE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10441 QUALITY DR.
Mailing Address - Street 2:SUITE 303
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609
Mailing Address - Country:US
Mailing Address - Phone:352-666-9990
Mailing Address - Fax:352-666-1905
Practice Address - Street 1:10441 QUALITY DR.
Practice Address - Street 2:SUITE 303
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609
Practice Address - Country:US
Practice Address - Phone:352-666-9990
Practice Address - Fax:352-666-1905
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2024-05-14
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Provider Licenses
StateLicense IDTaxonomies
FLME43218207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12218OtherBCBS
FLP00144328OtherUNITED HEALTHCARE
FL12218OtherBCBS
FL12218CMedicare PIN
FL12218DMedicare PIN