Healthcare Provider Details

I. General information

NPI: 1275719981
Provider Name (Legal Business Name): SURGERY CENTER OF KEY WEST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2008
Last Update Date: 07/08/2024
Certification Date: 07/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

931 TOPPINO DR
KEY WEST FL
33040-4269
US

IV. Provider business mailing address

931 TOPPINO DR
KEY WEST FL
33040-4269
US

V. Phone/Fax

Practice location:
  • Phone: 305-923-4501
  • Fax:
Mailing address:
  • Phone: 305-923-4501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KRISTINA MUSIC
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 615-465-7377