| Organization Name: | KEY BISCAYNE SURGERY CENTER LLC |
| NPI Number: | 1477876696 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROGER K KHOURI (PRESIDENT) |
| Mailing Address: | 580 Crandon Blvd Suite #301 Key Biscayne |
| State: | FL US |
| Postal Code: | 331491832 |
| Phone Number: | 3053657770 |
| Fax Number: | 3053657778 |
| NPI Enumeration Date: | 03/02/2010 |
| NPI Last Update Date: | 01/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |