Organization Active NPI

Middle Keys Wellness Center, LLC

  • Family Medicine Physician
  • Marathon, FL
National Provider Identifier
1396249439
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MIDDLE KEYS WELLNESS CENTER, LLC
Practice address
5180 Overseas Hwy
Marathon, FL 33050-2624
Phone
(305) 517-6995
NPI assigned
Mar 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Layda Torres
Title
Manager Member
Phone
(305) 517-6995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5180 Overseas Hwy
Marathon, FL 33050-2624

Mailing address

5180 Overseas Hwy
Marathon, FL 33050-2624
Phone (305) 517-6995

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1396249439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502624",
            "telephone_number": "305-517-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502624",
            "telephone_number": "305-517-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE KEYS WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "LAYDA",
        "authorized_official_title_or_position": "MANAGER MEMBER",
        "authorized_official_telephone_number": "305-517-6995"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.