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NPI Code Detail

MEDICARE: DR KAY LLC

MEDICARE: DR KAY LLC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1194576231
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR KAY LLC
Provider Business Mailing Address
First Line : 5230 LAND O LAKES BLVD UNIT 1015
Second Line :
City : LAND O LAKES
State : FL
Zip : 34639-3241
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2716 STONEWOOD PARK LOOP
Second Line :
City : LAND O LAKES
State : FL
Zip : 34638-6213
Country : US
Telephone Number : 469-915-4211
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : AL BERRY
Credential :
Telephone Number : 469-915-4211
Provider Enumeration Date : 03/28/2024
Last Update Date : 03/28/2024

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Directions to “DR KAY LLC ” Practice Location

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