| Key West Urgent Care Inc | |
|
1501 Government Rd Key West FL 33040-5108 | |
| (305) 295-7550 | |
| (305) 296-3010 |
| Full Name | Key West Urgent Care Inc |
|---|---|
| Speciality | General Practice |
| Location | 1501 Government Rd, Key West, Florida |
| Authorized Official Name and Position | Teresa Ann Hehe (VICE PRESIDENT) |
| Authorized Official Contact | 3052957550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Key West Urgent Care Inc 1501 Government Rd Key West FL 33040-5108 Ph: (305) 295-7550 | Key West Urgent Care Inc 1501 Government Rd Key West FL 33040-5108 Ph: (305) 295-7550 |
| NPI Number | 1710991021 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 12/17/2019 |
| Medicare PECOS PAC ID | 4486683653 |
|---|---|
| Medicare Enrollment ID | O20050808000921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710991021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | John C Langley |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1952627739 PECOS PAC ID: 1850378472 Enrollment ID: I20040701000974 |
| Provider Name | Brian G Wagstaff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639114499 PECOS PAC ID: 4789626219 Enrollment ID: I20050815000960 |
| Provider Name | Raul Enrique Portela |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366593584 PECOS PAC ID: 7911032172 Enrollment ID: I20100315000114 |
| Provider Name | Ruth Anne Antonowich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336374040 PECOS PAC ID: 0244385326 Enrollment ID: I20150310002135 |
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