Organization
KEYS PLASTIC SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DANIEL VERGHESE M.D. (PRESIDENT)
(305) 289-1975
Entity
Organization
Contact information
Practice address
10095 OVERSEAS HWY, MARATHON, FL 33050-3336
(305) 289-1975
(305) 289-1976
Mailing address
10095 OVERSEAS HWY, MARATHON, FL 33050-3336
(305) 289-1975
(305) 289-1976
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
ME81836
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275698201
NPI
FL
Enumeration date
06/12/2012
Last updated
06/12/2012
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