MEDICARE: KEY WEST URGENT CARE INC

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
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1710991021
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEY WEST URGENT CARE INC

Provider Business Mailing Address
First Line	:	1501 GOVERNMENT RD
Second Line	:
City	:	KEY WEST
State	:	FL
Zip	:	33040-5108
Country	:	US
Telephone Number	:	305-295-7550
Fax Number	:	305-296-3010

Provider Business Practice Location Address
First Line	:	1501 GOVERNMENT RD
Second Line	:
City	:	KEY WEST
State	:	FL
Zip	:	33040-5108
Country	:	US
Telephone Number	:	305-295-7550
Fax Number	:	305-296-3010

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	TERESA ANN HEHE
Credential	:
Telephone Number	:	305-295-7550

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	12/17/2019

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