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Organization
KEY BRIDGE GP INC
Active
Organization
KEY BRIDGE GP INC
Active
Parent organization
KEY BRIDGE, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
KEY BRIDGE, INC.
Authorized official
MICHAEL ROGERS LMHC (PRESIDENT)
(305) 783-3677
Entity
Organization
Contact information
Practice address
1111 12TH ST STE 101, KEY WEST, FL 33040-4084
(305) 783-3677
Mailing address
1111 12TH ST STE 101, KEY WEST, FL 33040-4084
(305) 783-3677
(305) 407-3395
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022807200
—
FL
Enumeration date
03/09/2018
Last updated
01/15/2025
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