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

Mr. Keith Raymond Panaro, PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1861766180

Mr. Keith Raymond Panaro, PHYSICIANASSISTANT is a Surgical Physician Assistant in Jacksonville, Florida. Works from 2 locations. Licensed in California and Florida.

Licensed in
CA, FL
In the registry since
2012
Specialties on file
2

Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2700 Dolbeer St, Eureka, CA 95501 — (707) 445-8121

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9107010 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence CA-2355 (CA)

Record details

NPI number1861766180
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMarch 5, 2012
Last updated in NPPESJanuary 15, 2025
Certification dateJanuary 15, 2025

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