Provider Demographics
NPI:1871931634
Name:KELDIE, CARL JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:JAMES
Last Name:KELDIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6111 BROKEN SOUND PKWY NW
Mailing Address - Street 2:SUITE 130
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-2774
Mailing Address - Country:US
Mailing Address - Phone:561-771-0542
Mailing Address - Fax:888-506-1909
Practice Address - Street 1:6111 BROKEN SOUND PKWY NW
Practice Address - Street 2:SUITE 130
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33487-2774
Practice Address - Country:US
Practice Address - Phone:561-771-0542
Practice Address - Fax:888-506-1909
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC23577207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine