Provider Demographics
NPI:1831145218
Name:MICHAEL KEY D.O.
Entity type:Organization
Organization Name:MICHAEL KEY D.O.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.O.
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:561-741-1582
Mailing Address - Street 1:12530 152ND ST N
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33478-3557
Mailing Address - Country:US
Mailing Address - Phone:561-741-1582
Mailing Address - Fax:561-741-1607
Practice Address - Street 1:12530 152ND ST N
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33478-3557
Practice Address - Country:US
Practice Address - Phone:561-741-1582
Practice Address - Fax:561-741-1607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS40952085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOS4095OtherMEDICAL LICENSE
FLOS4095OtherMEDICAL LICENSE
FL82491PMedicare PIN