| Old Town Community Health Center | |
|
3134 Northside Dr Key West FL 33040-8004 | |
| (305) 296-8593 | |
| Not Available |
| Full Name | Old Town Community Health Center |
|---|---|
| Speciality | General Practice |
| Location | 3134 Northside Dr, Key West, Florida |
| Authorized Official Name and Position | Ivis Fonseca (BILLING MANAGER) |
| Authorized Official Contact | 3052923600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Town Community Health Center 3134 Northside Dr Key West FL 33040-8004 Ph: (305) 296-8593 | Old Town Community Health Center 3134 Northside Dr Key West FL 33040-8004 Ph: (305) 296-8593 |
| NPI Number | 1548488778 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548488778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME0049975 (Florida) | Primary |
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