| Old Town Medical Centers, Llc | |
|
540 Truman Ave Key West FL 33040-3141 | |
| (305) 394-1792 | |
| Not Available |
| Full Name | Old Town Medical Centers, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 540 Truman Ave, Key West, Florida |
| Authorized Official Name and Position | Timothy Mackey (AP) |
| Authorized Official Contact | 3053941792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Town Medical Centers, Llc 540 Truman Ave Key West FL 33040-3141 Ph: (305) 394-1792 | Old Town Medical Centers, Llc 540 Truman Ave Key West FL 33040-3141 Ph: (305) 394-1792 |
| NPI Number | 1982004933 |
|---|---|
| Provider Enumeration Date | 08/27/2014 |
| Last Update Date | 08/27/2014 |
| Medicare PECOS PAC ID | 6204159452 |
|---|---|
| Medicare Enrollment ID | O20141219001795 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982004933 | NPI | - | NPPES |
| Provider Name | Timothy W Mackey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730235797 PECOS PAC ID: 7618922188 Enrollment ID: I20050317000292 |
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