SearchFlorida2355S0801X

Keaton Fasone

NPI 1467041392 · on the registry since 2021 · sole proprietor

Practice

Address
5540 Pga Blvd Ste 102
Palm Beach Gardens, FL 33418
Phone
(561) 630-9350
Organisation at this address
Mefl, Llc
Ahava-5772, Llc
David A Lickstein Md Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
2355S0801X
2355S0801X
Also registered as
237700000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida