Key West Hma Physician Management LLC

NPI #1255909867 in Key West, Florida

Provider Information

NPI Number: 1255909867
Entity Type: Organization
Organization Name: Key West Hma Physician Management LLC
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: Jun 11, 2021
Last Updated: Mar 16, 2022

Practice Location

Address: 1111 12TH ST STE 104
City: Key West
State: Florida
ZIP Code: 33040-4084
Phone: (305) 293-1830

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Advanced Practice Midwife	367A00000X
Obstetrics & Gynecology	207V00000X	Primary

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