Southern Medical Group

LBN: Key West Medical Group P A
Southern Medical Group is an health care organization with primary practice located at 1111 12Th St Suite210, Key West FL 33040-4088. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Key West Medical Group P A can be contacted via phone (305) 296-2414, or through Lacova, Lisa via phone (954) 426-1186.

Contact Information

Primary practice address
1111 12Th St Suite210 Key West FL 33040-4088
Phone: (305) 296-2414
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lacova, Lisa
Phone: (954) 426-1186

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1477605285
LBN Legal business name Key West Medical Group P A
DBA Doing business as Southern Medical Group
Authorized official Lacova, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Feb 11th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477605285 NPPES
Florida MEDICAID 067849000

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