Search › Florida › 2355S0801X
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 LlcInferred 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