Organization Name: | KEY BISCAYNE SURGICAL CENTER LLC |
NPI Number: | 1679804363 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROGER K KHOURI (MANAGER) |
Mailing Address: | 180 Crandon Blvd 114 Key Biscayne |
State: | FL US |
Postal Code: | 331491555 |
Phone Number: | 3056424263 |
Fax Number: | 3054263329 |
NPI Enumeration Date: | 01/20/2010 |
NPI Last Update Date: | 01/20/2010 |
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: |