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Organization
OLD TOWN MEDICAL CENTERS, LLC
Active
Organization
OLD TOWN MEDICAL CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY MACKEY DO (AP)
(305) 394-1792
Entity
Organization
Contact information
Practice address
540 TRUMAN AVE, KEY WEST, FL 33040-3141
(305) 394-1792
Mailing address
540 TRUMAN AVE, KEY WEST, FL 33040-3141
(305) 394-1792
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME 51339
FL
207R00000X
Internal Medicine Physician
Primary
OS9185
FL
363LF0000X
Family Nurse Practitioner
9168222
FL
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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