Provider Demographics
NPI:1235104670
Name:NAVAL BRANCH HEALTH CLINIC KEY WEST
Entity Type:Organization
Organization Name:NAVAL BRANCH HEALTH CLINIC KEY WEST
Other - Org Name:NAVAL HOSPITLA JACKSONVILLE
Other - Org Type:Other Name
Authorized Official - Title/Position:HEAD, PHARMACY SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:VICTOR
Authorized Official - Last Name:GUARNO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:305-293-4600
Mailing Address - Street 1:1300 DOUGLAS CIRCLE
Mailing Address - Street 2:
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040
Mailing Address - Country:US
Mailing Address - Phone:305-293-4600
Mailing Address - Fax:
Practice Address - Street 1:1300 DOUGLAS CIR
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4536
Practice Address - Country:US
Practice Address - Phone:305-293-4600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-21
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS29644183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty