| Northside Medical Associates | |
|
3138 Northside Dr Key West FL 33040-8028 | |
| (305) 295-3838 | |
| (305) 295-7772 |
| Full Name | Northside Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 3138 Northside Dr, Key West, Florida |
| Authorized Official Name and Position | Mark A Baurr (OFFICE MANAGER) |
| Authorized Official Contact | 3052953838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Medical Associates 3138 Northside Dr Key West FL 33040-8028 Ph: (305) 295-3838 | Northside Medical Associates 3138 Northside Dr Key West FL 33040-8028 Ph: (305) 295-3838 |
| NPI Number | 1427129972 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 01/27/2010 |
| Medicare PECOS PAC ID | 4385833896 |
|---|---|
| Medicare Enrollment ID | O20110114000541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427129972 | NPI | - | NPPES |
| 376475300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0066579 (Florida) | Primary |
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