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Organization

KEY WEST HMA PHYSICIAN MANAGEMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTY MUSIC (DIRECTOR, PROVIDER ENROLLMENT)
(877) 892-9815
Entity
Organization

Contact information

Practice address
1200 KENNEDY DR STE 1041, KEY WEST, FL 33040-4023
(305) 292-5877
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7211

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2084P0800X
Psychiatry Physician
Primary
363A00000X
Physician Assistant
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
09/21/2023
Last updated
09/17/2024
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