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KEY WEST HMA PHYSICIAN MANAGEMENT LLC NPI 1386309516


NPI Information

NPI: 1386309516
Provider Name: KEY WEST HMA PHYSICIAN MANAGEMENT LLC

Doing Business As: KEY WEST HMA PHYSICIAN MANAGEMENT LLC

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization

CLIA Number: 10D2168662

Address:
1111 12TH ST STE 103
KEY WEST, FL
ZIP 33040
Phone: (305) 294-5727
Get Directions

KEY WEST HMA PHYSICIAN MANAGEMENT LLC is an otolaryngology in Key West, FL. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. KEY WEST HMA PHYSICIAN MANAGEMENT LLC NPI is 1386309516. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Key West Hma Physician Management Llc.

The provider's business location address is:

1111 12TH ST STE 103
KEY WEST, FL
ZIP 33040-084
Phone: (305) 294-5727
Fax: (305) 294-6160

The provider's authorized official is Jennifer L Jackson .
The authorized official title is Sr Dir Prov Enrollment & Onboarding and has the following contact phone number (615) 465-3334.

The CLIA number assigned to this NPI record is 10D2168662 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2021 and was last updated on 3/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PENDINGMEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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