Id Consults And Services, Pa | |
3142 Northside Dr Ste 101 Key West FL 33040-8012 | |
(305) 615-3300 | |
Not Available |
Full Name | Id Consults And Services, Pa |
---|---|
Speciality | Internal Medicine - Infectious Disease |
Location | 3142 Northside Dr Ste 101, Key West, Florida |
Authorized Official Name and Position | Jerry Jackson (PRESIDENT) |
Authorized Official Contact | 3056153300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Id Consults And Services, Pa 513 Olivia St Key West FL 33040-7438 Ph: () - | Id Consults And Services, Pa 3142 Northside Dr Ste 101 Key West FL 33040-8012 Ph: (305) 615-3300 |
NPI Number | 1215353677 |
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Provider Enumeration Date | 03/10/2014 |
Last Update Date | 03/10/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215353677 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME114239 (Florida) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | ME114239 (Florida) | Primary |
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