Mr. Mateland Lestery Keith Iii

PMHNP-ABC | Nurse Practitioner | 4+ years Exp

421 Commercial Ct Ste B, Venice
  Florida, 34292-1656
941-244-4377
Accepts Medicare Nurse Anesthetist in Venice, Florida.
Mr. Mateland Lestery Keith Iii is a Venice, Florida based nurse practitioner with 4 years of experience in . He completed his graduation in 2021. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Mateland Lestery Keith Iii is 11013737 for Psych/Mental Health in Florida. His current practice location is 421 Commercial Ct Ste B, Venice. Patients can reach him at 941-244-4377 or can fax him at 941-445-4186. Mr. Mateland Lestery Keith Iii is PMHNP-ABC and his NPI number (Unique professional ID assigned by NPPES) is 1457964843.
Mr. Mateland Lestery Keith Iii has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mr. Mateland Lestery Keith Iii speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mr. Mateland Lestery Keith Iii
Specialization: Nurse Practitioner (NP)
Gender:Male
Credentials: PMHNP-ABC
Experience: 4+ years
Medical School Attended:Other
Graduation Year:2021
Accepts Medicare Assignment:Yes
Practice Address:421 Commercial Ct Ste B, Venice,
Florida, 34292-1656
Phone:941-244-4377
Fax:941-445-4186
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 3072901529
Enrollment ID: I20211102002403
NPI Number: 1457964843
NPI Enumeration Date: 26 Aug, 2020
NPI Last Update On: 02 Sep, 2021

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Mateland Lestery Keith Iii are as mentioned below.
License NumberSpecializationStateStatus
11013737Psych/Mental Health FloridaPrimary
28243714ARegistered Nurse IndianaSecondary
28243714ARegistered Nurse IndianaSecondary
28243714ARegistered Nurse IndianaSecondary
28243714ARegistered Nurse IndianaSecondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Mr. Mateland Lestery Keith Iii is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Dna Comprehensive Therapy Services Llc (2860619632)84
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mr. Mateland Lestery Keith Iii
421 Commercial Ct Ste B,
Venice, Florida
Zip: 34292-1656
Phone Number: 941-244-4377
Fax Number: 941-445-4186
Patients can reach Mr. Mateland Lestery Keith Iii at 421 Commercial Ct Ste B, Venice, Florida or can call to book an appointment on 941-244-4377.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.