# A1-URGENT CARE & FAMILY PRACTICE CENTER KEY LARGO, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972619625
- **Authorized official:** DR. IAN N RAE M.D. (PRESIDENT)
- **Authorized official phone:** (305) 453-3006

## Contact information

- **Practice address:** 99198 OVERSEAS HWY STE 2, KEY LARGO, FL 33037-2437
- **Practice address phone:** (305) 453-3006
- **Practice address fax:** (305) 453-3310
- **Mailing address:** PO BOX 998, TAVERNIER, FL 33070-0998
- **Mailing address phone:** (305) 453-3006
- **Mailing address fax:** (305) 453-3310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME0003371 | FL | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 01/30/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 370516100 | — | FL |
| 01 | — | 930106664 | RAILROAD MEDICARE ID | FL |
| 01 | — | 95144 | BLUE CROSS BLUE SHIELD | FL |