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1111 12th St Suite 413 Key West FL 33040-4088 | |
(305) 294-9554 | |
(305) 294-1316 |
Full Name | |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1111 12th St, Key West, Florida |
Authorized Official Name and Position | Joseph E O'lear (OWNER) |
Authorized Official Contact | 3052949554 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1111 12th St Suite 413 Key West FL 33040-4088 Ph: (305) 294-9554 | 1111 12th St Suite 413 Key West FL 33040-4088 Ph: (305) 294-9554 |
NPI Number | 1104148758 |
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Provider Enumeration Date | 02/24/2010 |
Last Update Date | 02/25/2010 |
Identifier | Type | State | Issuer |
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1104148758 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | ME88361 (Florida) | Primary |
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