Provider Demographics
NPI:1720338213
Name:HEART OF THE KEYS CARDIOLOGY PA
Entity Type:Organization
Organization Name:HEART OF THE KEYS CARDIOLOGY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:AUGSTEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-904-9166
Mailing Address - Street 1:PO BOX 522709
Mailing Address - Street 2:
Mailing Address - City:MARATHON SHORES
Mailing Address - State:FL
Mailing Address - Zip Code:33052-2709
Mailing Address - Country:US
Mailing Address - Phone:305-320-2451
Mailing Address - Fax:
Practice Address - Street 1:11400 OVERSEAS HWY
Practice Address - Street 2:SUITE 106-108
Practice Address - City:MARATHON
Practice Address - State:FL
Practice Address - Zip Code:33050-3600
Practice Address - Country:US
Practice Address - Phone:305-320-2451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty