Organization
KEY WEST SURGICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA C SEGURA-GARCIA (BILLING-CODING)
(305) 294-1041
Entity
Organization
Contact information
Practice address
3136 NORHTSIDE DRIVE, KEY WEST, FL 33040-8027
(305) 294-1041
(305) 293-0990
Mailing address
3136 NORHTSIDE DRIVE, KEY WEST, FL 33040-8027
(305) 294-1041
(305) 293-0990
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255847500
—
FL
Enumeration date
09/01/2006
Last updated
07/21/2022
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