Provider Demographics
NPI:1992468516
Name:KEYS MOBILE MEDICAL SERVICES LLC
Entity Type:Organization
Organization Name:KEYS MOBILE MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-322-7446
Mailing Address - Street 1:16 ORANGE DR
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-2500
Mailing Address - Country:US
Mailing Address - Phone:305-907-7550
Mailing Address - Fax:305-907-7550
Practice Address - Street 1:16 ORANGE DR
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-2500
Practice Address - Country:US
Practice Address - Phone:305-907-7550
Practice Address - Fax:305-907-7550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty