KEYSTONE MEDICAL INC NPI 1598171266

NPI Information

NPI: 1598171266
Provider Name: KEYSTONE MEDICAL INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
13499 BISCAYNE BLVD
SUITE M6-M7
NORTH MIAMI, FL
ZIP 33181
Phone: (305) 956-2728
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KEYSTONE MEDICAL INC is a primary care clinic center in North Miami, FL. KEYSTONE MEDICAL INC NPI is 1598171266. The provider is registered as an organization entity type.

The provider's business location address is:

13499 BISCAYNE BLVD
SUITE M6-M7
NORTH MIAMI, FL
ZIP 33181-043
Phone: (305) 956-2728
Fax: (305) 940-6201

The provider's authorized official is Ronald J Dortonne .
The authorized official title is Doctor and has the following contact phone number (305) 323-0354.

The enumeration date for this NPI number is 7/2/2014 and was last updated on 7/2/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	ME77120	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	009090200	MEDICAID	FLORIDA
2	G87718	MEDICARE UPIN	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

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