Provider Demographics
NPI:1821003229
Name:KEY BISCAYNE ASSOCIATES IN PEDIATRICS PA
Entity Type:Organization
Organization Name:KEY BISCAYNE ASSOCIATES IN PEDIATRICS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:GUEVARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-361-6232
Mailing Address - Street 1:240 CRANDON BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:KEY BISCAYNE
Mailing Address - State:FL
Mailing Address - Zip Code:33149-1543
Mailing Address - Country:US
Mailing Address - Phone:305-361-6232
Mailing Address - Fax:305-365-0031
Practice Address - Street 1:240 CRANDON BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:KEY BISCAYNE
Practice Address - State:FL
Practice Address - Zip Code:33149-1543
Practice Address - Country:US
Practice Address - Phone:305-361-6232
Practice Address - Fax:305-365-0031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty