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Organization
A1-URGENT CARE & FAMILY PRACTICE CENTER KEY LARGO, PA
Active
Organization
A1-URGENT CARE & FAMILY PRACTICE CENTER KEY LARGO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN N RAE M.D. (PRESIDENT)
(305) 453-3006
Entity
Organization
Contact information
Practice address
99198 OVERSEAS HWY STE 2, KEY LARGO, FL 33037-2437
(305) 453-3006
(305) 453-3310
Mailing address
PO BOX 998, TAVERNIER, FL 33070-0998
(305) 453-3006
(305) 453-3310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0003371
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370516100
—
FL
01
—
930106664
RAILROAD MEDICARE ID
FL
01
—
95144
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/22/2006
Last updated
01/30/2021
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