| Key Bridge Gp Inc | |
|
1111 12th St Ste 212 Key West FL 33040-3001 | |
| (305) 783-3677 | |
| Not Available |
| Full Name | Key Bridge Gp Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 1111 12th St Ste 212, Key West, Florida |
| Authorized Official Name and Position | Michael Rogers (PRESIDENT) |
| Authorized Official Contact | 3057833677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Key Bridge Gp Inc 1111 12th St Ste 212 Key West FL 33040-3001 Ph: (305) 783-3677 | Key Bridge Gp Inc 1111 12th St Ste 212 Key West FL 33040-3001 Ph: (305) 783-3677 |
| NPI Number | 1821591447 |
|---|---|
| Provider Enumeration Date | 03/09/2018 |
| Last Update Date | 09/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821591447 | NPI | - | NPPES |
| 022807200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
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