1497878250 NPI number — SANDROW & KEYES, M.D., P.A.

Table of content: (NPI 1497878250)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497878250 NPI number — SANDROW & KEYES, M.D., P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SANDROW & KEYES, M.D., P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497878250
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/12/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9408 SW 87TH AVE STE 300
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33176-2416
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-595-2550
Provider Business Mailing Address Fax Number:
305-595-2555

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9408 SW 87TH AVE STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33176-2416
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-595-2550
Provider Business Practice Location Address Fax Number:
305-595-2555
Provider Enumeration Date:
04/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KEYES
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
BARRY
Authorized Official Title or Position:
PRESIDENT SECRETARY TREASURER
Authorized Official Telephone Number:
305-595-2550

Provider Taxonomy Codes

  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00659 . This is a "BCBS GROUP ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 374544200 . This is a "FEDERAL WORKMANS COMPENSASTION US DEPARTMENT OF LABOR" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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