Old Town Community Health Center

NPI #1548488778 in Key West, Florida

Provider Information

NPI Number: 1548488778
Entity Type: Organization
Organization Name: Old Town Community Health Center
Primary Specialty: General Practice
Enumeration Date: Apr 23, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3134 NORTHSIDE DR
City: Key West
State: Florida
ZIP Code: 33040-8004
Phone: (305) 296-8593

Authorized Official

Name: IVIS FONSECA
Title: BILLING MANAGER
Phone: (305) 292-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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