Key West Hma Physician Management LLC

NPI #1194393793 in Key West, Florida

Provider Information

NPI Number: 1194393793
Entity Type: Organization
Organization Name: Key West Hma Physician Management LLC
Primary Specialty: Orthopaedic Surgery - Orthopaedic Trauma
Enumeration Date: Jun 11, 2021
Last Updated: Mar 16, 2022

Practice Location

Address: 1111 12TH ST STE 207
City: Key West
State: Florida
ZIP Code: 33040-3007
Phone: (305) 292-5877

Authorized Official

Name: JENNIFER L JACKSON
Title: SR DIR PROV ENROLLMENT & ONBOARDING
Phone: (615) 465-3334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Physician Assistant - Surgical — Surgical	363AS0400X
Orthopaedic Surgery - Orthopaedic Trauma — Orthopaedic Trauma	207XX0801X	Primary

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