Provider Demographics
NPI:1750424958
Name:INTERNAL MEDICINE OF THE KEYS, INC
Entity type:Organization
Organization Name:INTERNAL MEDICINE OF THE KEYS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BADANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-852-8670
Mailing Address - Street 1:91550 OVERSEAS HWY STE 105
Mailing Address - Street 2:
Mailing Address - City:TAVERNIER
Mailing Address - State:FL
Mailing Address - Zip Code:33070-2513
Mailing Address - Country:US
Mailing Address - Phone:305-852-8670
Mailing Address - Fax:305-852-8672
Practice Address - Street 1:91550 OVERSEAS HWY STE 105
Practice Address - Street 2:
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2513
Practice Address - Country:US
Practice Address - Phone:305-852-8670
Practice Address - Fax:305-852-8672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL88181207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL272649100Medicaid
FL272649100Medicaid
FLG58493Medicare UPIN