The Key Center of Florida

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

MH 9217 Issued in FL

Legal business name

THE KEY CENTER OF FLORIDA

Practice address

21155 Whitfield PL 206
Sterling, VA 20165

Phone

(571) 313-8750

NPI assigned

Apr 22, 2015

Organization subpart

No

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

Authorized official

Name

Janis Manalang, LCP

Title

Owner

Phone

(571) 313-8750

Specialties & licenses 1

Addresses

Tax ID family

The Key Center of Florida2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Key Center of Florida

  • Community/Behavioral Health Agency
  • Sterling, VA
  • NPI 1891188025
  NPD tax ID

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1629465299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 STIRLING RD STE 102",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330248068",
            "telephone_number": "571-313-8750",
            "fax_number": "571-313-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21155 WHITFIELD PL 206",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "20165",
            "telephone_number": "571-313-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KEY CENTER OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "MANALANG",
        "authorized_official_first_name": "JANIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-313-8750",
        "authorized_official_credential": "LCP"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "MH 9217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Dara Thammavongsa
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• Albert Bruce Thomas II, MD

• Health Maintenance Organization in Sterling, VA
• Providers in Sterling, VA by specialty
• Health Maintenance Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.