Individual ProviderDana KeelerNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4501 S Semoran Blvd, Orlando, FL 32822-2407(321) 445-7418PECOS EnrollmentBased on the most recent information from CMS, provider Dana Keeler does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1760166359Provider TypeIndividualFull NameKeeler, DanaGenderFemaleSole ProprietorNoEnumeration Date6/14/2023Last Updated6/14/2023Contact InformationPractice LocationPractice Address4501 S Semoran Blvd, Orlando, FL 32822-2407Phone(321) 445-7418FaxUnlisted FaxMailing LocationMailing Address4501 S Semoran Blvd, Orlando, FL 32822-2407PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAPRN11021771FloridaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicenseRN9488268Florida