Individual ProviderMichelle Ann KeanePediatricsAllopathic & Osteopathic PhysiciansPractice Address9611 W Broward Blvd, Plantation, FL 33324-2334(954) 424-7000(954) 431-8000PECOS EnrollmentBased on the most recent information from CMS, provider Michelle Ann Keane 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 15 days ago.Profile DetailsProvider ID1922290402Provider TypeIndividualFull NameKeane, Michelle AnnGenderFemaleSole ProprietorYesEnumeration Date8/17/2007Last Updated2/15/2024Contact InformationPractice LocationPractice Address9611 W Broward Blvd, Plantation, FL 33324-2334Phone(954) 424-7000Fax(954) 436-0449Mailing LocationMailing Address900 S Pine Island Rd Ste 800, Plantation, FL 33324-3923Phone(954) 431-8000Fax(954) 436-0449Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseME108902FloridaCode2080P0006XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseME108902FloridaProvider IdentifiersIDDescriptionIssuerID004160700DescriptionMedicaidIssuerUnlistedFlorida