Spirit of Key West LLC

NPI #1881138279 in Buford, Georgia

Provider Information

NPI Number
1881138279
Entity Type
Organization
Organization Name
Spirit of Key West LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Dec 5, 2016
Last Updated
Mar 7, 2025

Practice Location

Address
5629 HOLIDAY RD
City
Buford
State
Georgia
ZIP Code
30518-1519
Phone
(678) 765-8622

Authorized Official

Name
JANA RENEE HIMMELBAUM, DO
Title
OWNER
Phone
(678) 765-8622

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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