Provider Demographics
NPI:1891938221
Name:KEY WEST ANESTHESIA ASSOCIATES PLC
Entity Type:Organization
Organization Name:KEY WEST ANESTHESIA ASSOCIATES PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:EID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-395-1590
Mailing Address - Street 1:5900 COLLEGE RD
Mailing Address - Street 2:LOWER KEYS MEDICAL CENTER ANESTHESIA DEPT
Mailing Address - City:KEY WEST
Mailing Address - State:FL
Mailing Address - Zip Code:33040-4342
Mailing Address - Country:US
Mailing Address - Phone:305-294-5535
Mailing Address - Fax:305-292-9196
Practice Address - Street 1:5900 COLLEGE RD
Practice Address - Street 2:LOWER KEYS MEDICAL CENTER ANESTHESIA DEPT
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-4342
Practice Address - Country:US
Practice Address - Phone:305-294-5535
Practice Address - Fax:305-292-9196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-15
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME38704207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDP5872OtherRR MEDICARE
FL000988100Medicaid
FL00A1BOtherBCBS OF FL
FL000988100Medicaid