Organization Name: | FLORIDA KEYS AREA HEALTH EDUCATION CENTER, INC. |
NPI Number: | 1104225663 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL CUNNINGHAM (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 5800 Overseas Hwy Ste 38 Marathon |
State: | FL US |
Postal Code: | 330502744 |
Phone Number: | 3057437111 |
Fax Number: | 3057437709 |
NPI Enumeration Date: | 08/20/2014 |
NPI Last Update Date: | 08/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Student Health |
Taxonomy Definition: |