Organization
BAPTIST HEALTH MEDICAL GROUP UPPER KEYS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW ARSENAULT (CFO)
(786) 662-7111
Entity
Organization
Contact information
Practice address
91550 OVERSEAS HIGHWAY, SUITE 215, TAVERNIER, FL 33070
(786) 662-7111
Mailing address
6855 S RED RD STE 540, SOUTH MIAMI, FL 33143-3647
(786) 662-7980
(786) 533-9403
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00500
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/14/2007
Last updated
08/08/2022
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