Provider Demographics
NPI:1992326862
Name:KINDER IN THE KEYS
Entity type:Organization
Organization Name:KINDER IN THE KEYS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:TANZINI
Authorized Official - Suffix:
Authorized Official - Credentials:DRPH
Authorized Official - Phone:909-240-5096
Mailing Address - Street 1:9 OCEAN VIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-3832
Mailing Address - Country:US
Mailing Address - Phone:909-240-5096
Mailing Address - Fax:
Practice Address - Street 1:9 OCEAN VIEW BLVD
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-3832
Practice Address - Country:US
Practice Address - Phone:909-240-5096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KINDER IN THE KEYS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-02
Last Update Date:2020-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)