Provider Demographics
NPI:1336585017
Name:KEY ASSETS FLORIDA, INC.
Entity Type:Organization
Organization Name:KEY ASSETS FLORIDA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STATE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:ELIS
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CWCM
Authorized Official - Phone:352-281-8461
Mailing Address - Street 1:9280 BAY PLAZA BLVD
Mailing Address - Street 2:SUITE 716
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619
Mailing Address - Country:US
Mailing Address - Phone:813-620-0451
Mailing Address - Fax:813-623-6127
Practice Address - Street 1:9280 BAY PLAZA BLVD
Practice Address - Street 2:SUITE 716
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619
Practice Address - Country:US
Practice Address - Phone:813-620-0451
Practice Address - Fax:813-623-6127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-21
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253J00000XAgenciesFoster Care Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009300000Medicaid