Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keely Shaye Lassiter, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700630613

Keely Shaye Lassiter, MD is a Student in an Organized Health Care Education/Training Program in Orlando, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1335 Sligh Blvd Ste 200
Orlando, FL 32806
Phone: (407) 649-6884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1700630613
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 16, 2024
Last updated in NPPESApril 16, 2024
Certification dateApril 10, 2024
Mailing address1335 Sligh Blvd, Ste. 400 Mp 100, Orlando, FL 32806

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