Provider Demographics
NPI:1104225663
Name:FLORIDA KEYS AREA HEALTH EDUCATION CENTER, INC.
Entity type:Organization
Organization Name:FLORIDA KEYS AREA HEALTH EDUCATION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-743-7111
Mailing Address - Street 1:5800 OVERSEAS HWY STE 38
Mailing Address - Street 2:
Mailing Address - City:MARATHON
Mailing Address - State:FL
Mailing Address - Zip Code:33050-2744
Mailing Address - Country:US
Mailing Address - Phone:305-743-7111
Mailing Address - Fax:305-743-7709
Practice Address - Street 1:5800 OVERSEAS HWY STE 38
Practice Address - Street 2:
Practice Address - City:MARATHON
Practice Address - State:FL
Practice Address - Zip Code:33050-2744
Practice Address - Country:US
Practice Address - Phone:305-743-7111
Practice Address - Fax:305-743-7709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-20
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty