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Organization
ISLAND CLINIC OF KEY BISCAYNE LLC
Active
Organization
ISLAND CLINIC OF KEY BISCAYNE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN J ORTIZ BUTCHER MD (CHAIRMAN)
(305) 365-8222
Entity
Organization
Contact information
Practice address
967 CRANDON BLVD, KEY BISCAYNE, FL 33149-2753
(305) 365-8222
(305) 365-8299
Mailing address
PO BOX 491433, KEY BISCAYNE, FL 33149-7433
(305) 365-8222
(305) 365-8299
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME0045129
FL
Other
Enumeration date
11/01/2006
Last updated
10/10/2007
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