Key West Vascular Institute

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

KEY WEST VASCULAR INSTITUTE

Practice address

3414 Duck Ave Unit 8
Key West, FL 33040-4427

Phone

(305) 206-1157

NPI assigned

Aug 11, 2017

Last updated

Aug 11, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rachelle Theodore, MPH, MBA

Title

Business Consultant

Phone

(407) 914-0003

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502409600000",
    "number": "1093230963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NW 15TH ST STE 101",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 DUCK AVE UNIT 8",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404427",
            "telephone_number": "305-206-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY WEST VASCULAR INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-11",
        "last_updated": "2017-08-11",
        "status": "A",
        "authorized_official_last_name": "THEODORE",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "BUSINESS CONSULTANT",
        "authorized_official_telephone_number": "407-914-0003",
        "authorized_official_credential": "MPH, MBA"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125598001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Key West Orthopedics PA
• Key West Spine and Injury, Inc.
• Key West Surgical Group Inc
• Key West Urgent Care Inc
• Key West Urology Associates
• Keys Emergency Group, LLC
• Keys Eye Care
• Keys Occupational Therapy PLLC
• Keys of Behavior LLC
• Keys Pediatrics PLLC

• Interventional Cardiology Physician in Key West, FL
• Providers in Key West, FL by specialty
• Interventional Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.