Organization
FLORIDA KEYS PEDIATRIC AND ADOLESCENT CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY MARTIN ZUBA M.D. (PRESIDENT)
(305) 853-0558
Entity
Organization
Contact information
Practice address
91550 OVERSEAS HWY, SUITE 209, TAVERNIER, FL 33070-2506
(305) 853-0558
(305) 853-0744
Mailing address
91550 OVERSEAS HIGHWAY, SUITE 209, TAVERNIER, FL 33070
(305) 853-0558
(305) 853-0744
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME72754
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10724535
NPI NUMBER
FL
Enumeration date
01/10/2007
Last updated
08/22/2020
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