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KEY WEST HMA PHYSICIAN MANAGEMENT LLC NPI 1013588631


NPI Information

NPI: 1013588631
Provider Name: KEY WEST HMA PHYSICIAN MANAGEMENT LLC

Doing Business As: KEY WEST HMA PHYSICIAN MANAGEMENT LLC

Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
1111 12TH ST STE 201
KEY WEST, FL
ZIP 33040
Phone: (305) 295-3477
Get Directions

KEY WEST HMA PHYSICIAN MANAGEMENT LLC is an orthopaedic surgery in Key West, FL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. KEY WEST HMA PHYSICIAN MANAGEMENT LLC NPI is 1013588631. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Key West Hma Physician Management Llc.

The provider's business location address is:

1111 12TH ST STE 201
KEY WEST, FL
ZIP 33040-087
Phone: (305) 295-3477
Fax: (305) 295-3550

The provider's authorized official is Jennifer L Jackson .
The authorized official title is Sr Dir Prov Enrollment & Onboarding and has the following contact phone number (615) 465-3334.

The enumeration date for this NPI number is 7/6/2021 and was last updated on 3/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XX0005XOrthopaedic SurgerySports MedicineNo
2207XX0801XOrthopaedic SurgeryOrthopaedic TraumaNo
3363A00000XPhysician AssistantNo
4363AS0400XPhysician AssistantSurgicalNo
5207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1272815003MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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