A1-Urgent Care & Family Practice Center Key Largo, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0003371 Issued in FL

Legal business name

A1-URGENT CARE & FAMILY PRACTICE CENTER KEY LARGO, PA

Practice address

99198 Overseas Hwy Ste 2
Key Largo, FL 33037-2437

Phone

(305) 453-3006

Fax

(305) 453-3310

NPI assigned

Aug 22, 2006

Last updated

Jan 30, 2021By 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

Dr. Ian N Rae, M.D.NPI 1932215753

Title

President

Phone

(305) 453-3006

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ian N Rae, M.D.

  • Family Medicine Physician
  • Key Largo, FL
  • NPI 1932215753
  Authorized official Same address or phone

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611964800000",
    "number": "1972619625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 998",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330700998",
            "telephone_number": "305-453-3006",
            "fax_number": "305-453-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99198 OVERSEAS HWY STE 2",
            "city": "KEY LARGO",
            "state": "FL",
            "postal_code": "330372437",
            "telephone_number": "305-453-3006",
            "fax_number": "305-453-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1-URGENT CARE & FAMILY PRACTICE CENTER KEY LARGO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A",
        "authorized_official_last_name": "RAE",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-453-3006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0003371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370516100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "930106664",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "95144",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Key Largo, FL
• Providers in Key Largo, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.