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KEITH MYRON JUSTICE M.D.
NPI 1477558708
Internal Medicine - Hematology & Oncology in St Augustine, FL

Active since June 14, 2005PECOS Enrolled
2460 OLD MOULTRIE RD STE 4, ST AUGUSTINE, FL 32086(904) 563-1482 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Feb 13, 2023 (2 updates tracked since 2023).

About Keith Myron Justice M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH MYRON JUSTICE M.D. (NPI 1477558708) is an individual hematology & oncology provider in St Augustine, Florida, licensed in Florida (ME 75770) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477558708
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameKEITH MYRON JUSTICECredential: M.D.
Location Address2460 OLD MOULTRIE RD STE 4St Augustine, FL 32086-4198
Mailing Address2460 Old Moultrie Rd Ste 4St Augustine, FL 32086-4198 · (904) 563-1482
Phone(904) 563-1482
Sole ProprietorNo
Enumeration DateJune 14, 2005
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
✔ NPI 1477558708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in FL · ME 75770
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2460 OLD MOULTRIE RD STE 4, St Augustine, FL 32086
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Other Identifiers 5

Other44678FL · Bcbs
Other7174040FL · Aetna
Medicaid255358900FL
Other272323FL · Avmed
OtherG78663FL · Upin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith Myron Justice M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL JOSEPH HAVRO PA-C
Physician Assistant
2460 OLD MOULTRIE RD STE 4
ST AUGUSTINE, FL 32086
St. Johns County (904) 797-5740

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Justice's NPI number?

The NPI number for Keith Justice is 1477558708. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Keith Justice located?

Keith Justice practices at 2460 Old Moultrie Rd Ste 4, St Augustine, FL 32086. The listed phone number is (904) 563-1482.

What is Keith Justice's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Keith Justice enrolled in Medicare?

Yes. Keith Justice is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keith Justice was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.