Healthcare Provider Details

I. General information

NPI: 1821003229
Provider Name (Legal Business Name): KEY BISCAYNE PEDIATRIC ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 CRANDON BLVD STE 212
KEY BISCAYNE FL
33149-1597
US

IV. Provider business mailing address

240 CRANDON BLVD STE 212
KEY BISCAYNE FL
33149-1597
US

V. Phone/Fax

Practice location:
  • Phone: 305-361-6232
  • Fax: 305-365-0031
Mailing address:
  • Phone: 305-361-6232
  • Fax: 305-365-0031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RAMON A GUEVARA
Title or Position: OWNER AND OPERATOR
Credential: DO
Phone: 305-361-6232