| Fl Keys Intensive Outpatient Program, Llc | |
|
1111 12th St Suite 413 Key West FL 33040-4088 | |
| (305) 294-9554 | |
| (305) 294-1316 |
| Full Name | Fl Keys Intensive Outpatient Program, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1111 12th St, Key West, Florida |
| Authorized Official Name and Position | Joseph E O'lear (OWNER) |
| Authorized Official Contact | 3052949554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fl Keys Intensive Outpatient Program, Llc 1111 12th St Suite 413 Key West FL 33040-4088 Ph: (305) 294-9554 | Fl Keys Intensive Outpatient Program, Llc 1111 12th St Suite 413 Key West FL 33040-4088 Ph: (305) 294-9554 |
| NPI Number | 1104148758 |
|---|---|
| Provider Enumeration Date | 02/24/2010 |
| Last Update Date | 02/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104148758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME88361 (Florida) | Primary |
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