Provider Demographics
NPI:1164812269
Name:KEY BISCAYNE PSYCHIATRY
Entity Type:Organization
Organization Name:KEY BISCAYNE PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:JOYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:380-439-0085
Mailing Address - Street 1:240 CRANDON BLVD STE 230
Mailing Address - Street 2:
Mailing Address - City:KEY BISCAYNE
Mailing Address - State:FL
Mailing Address - Zip Code:33149-1624
Mailing Address - Country:US
Mailing Address - Phone:305-439-0085
Mailing Address - Fax:305-439-6054
Practice Address - Street 1:240 CRANDON BLVD STE 230
Practice Address - Street 2:
Practice Address - City:KEY BISCAYNE
Practice Address - State:FL
Practice Address - Zip Code:33149-1624
Practice Address - Country:US
Practice Address - Phone:305-439-0085
Practice Address - Fax:305-439-6054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1026182084N0400X
283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
No283Q00000XHospitalsPsychiatric HospitalGroup - Single Specialty