Provider Demographics
NPI:1861814071
Name:KEY WEST INSTITUTE OF PLASTIC SURGERY
Entity Type:Organization
Organization Name:KEY WEST INSTITUTE OF PLASTIC SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:LOESSIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-809-8011
Mailing Address - Street 1:3140 NORTHSIDE DR
Mailing Address - Street 2:BUILDING A
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-8011
Mailing Address - Country:US
Mailing Address - Phone:305-809-8011
Mailing Address - Fax:305-809-8011
Practice Address - Street 1:3140 NORTHSIDE DR
Practice Address - Street 2:BUILDING A
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-8011
Practice Address - Country:US
Practice Address - Phone:305-809-8011
Practice Address - Fax:305-809-8011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-08
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME67948208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty