Key West Hma Physician Management LLC

NPI #1568030195 in Key West, Florida

Provider Information

NPI Number: 1568030195
Entity Type: Organization
Organization Name: Key West Hma Physician Management LLC
Primary Specialty: Psychiatry & Neurology - Neurology
Enumeration Date: Jun 10, 2021
Last Updated: Mar 16, 2022

Practice Location

Address: 1200 KENNEDY DR
City: Key West
State: Florida
ZIP Code: 33040-4023
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
Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health	363LP0808X
Psychiatry & Neurology - Neurology — Neurology	2084N0400X	Primary

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