Keys Physician Services Pa | |
91500 O/s Hwy Mariners Hospital Tavernier FL 33070 | |
(305) 434-3000 | |
Not Available |
Full Name | Keys Physician Services Pa |
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Speciality | Internal Medicine |
Location | 91500 O/s Hwy, Tavernier, Florida |
Authorized Official Name and Position | Brent Alan Sperry (DOCTOR) |
Authorized Official Contact | 2394329366 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Keys Physician Services Pa Po Box 2928 Key Largo FL 33037 Ph: (239) 432-9366 | Keys Physician Services Pa 91500 O/s Hwy Mariners Hospital Tavernier FL 33070 Ph: (305) 434-3000 |
NPI Number | 1417131913 |
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Provider Enumeration Date | 12/20/2007 |
Last Update Date | 12/20/2007 |
Medicare PECOS PAC ID | 7416124946 |
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Medicare Enrollment ID | O20120124000264 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417131913 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Brent A Sperry |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093745713 PECOS PAC ID: 5597787234 Enrollment ID: I20051222000290 |
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