Organization
MIDDLE KEYS ANESTHESIA ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARLAN ERIC PETTIT M.D. (PRESIDENT / OWNER)
(305) 743-0222
Entity
Organization
Contact information
Practice address
3301 OVERSEAS HWY, FISHERMEN'S HOSPITAL ANESTHESIA DEPT, MARATHON, FL 33050-2329
(305) 289-6407
(305) 289-6417
Mailing address
103 PIRATES CV, MARATHON, FL 33050-2925
(305) 743-0222
(305) 743-0114
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170677600
US DEPT OF LABOR
—
05
—
263445700
—
FL
01
—
38390
BLUE CROSS BLUE SHIELD FL
FL
01
—
CJ5238
RAILROAD MEDICARE
FL
Enumeration date
05/10/2006
Last updated
03/03/2015
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