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NPI Code Detail

MEDICARE: ABIGAIL KEY

MEDICARE: ABIGAIL KEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerF05190337FL

General Provider Information

NPI Number : 1053978957
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL KEY
Provider Business Mailing Address
First Line : 2935 INCA AVE
Second Line :
City : CLERMONT
State : FL
Zip : 34715-8002
Country : US
Telephone Number : 407-408-6595
Fax Number :
Provider Business Practice Location Address
First Line : 10000 W COLONIAL DR
Second Line :
City : OCOEE
State : FL
Zip : 34761-3499
Country : US
Telephone Number : 407-296-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2019
Last Update Date : 05/26/2019

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Directions to “ ABIGAIL KEY ” Practice Location

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