Key West Medical Group P a

NPI #1477605285 in Key West, Florida

Provider Information

NPI Number: 1477605285
Entity Type: Organization
Organization Name: Key West Medical Group P a
Primary Specialty: Internal Medicine
Enumeration Date: Jan 18, 2007
Last Updated: Feb 11, 2011

Practice Location

Address: 1111 12TH ST
Address 2: SUITE210
City: Key West
State: Florida
ZIP Code: 33040-4088
Phone: (305) 296-2414

Authorized Official

Name: MS. LISA LACOVA
Title: BILLING MANAGER
Phone: (954) 426-1186

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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