Key Bridge Gp INC

NPI #1821591447 in Key West, Florida

Provider Information

NPI Number: 1821591447
Entity Type: Organization
Organization Name: Key Bridge Gp INC
Subpart: Yes (part of a larger organization)
Parent Organization: KEY BRIDGE, INC.
Primary Specialty: Family Medicine
Enumeration Date: Mar 9, 2018
Last Updated: Jan 15, 2025

Practice Location

Address: 1111 12TH ST STE 101
City: Key West
State: Florida
ZIP Code: 33040-4084
Phone: (305) 783-3677

Authorized Official

Name: MICHAEL ROGERS, LMHC
Title: PRESIDENT
Phone: (305) 783-3677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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