KEY WEST HMA PHYSICIAN MANAGEMENT LLC
NPI 1386309516
Otolaryngology in Key West, FL

Q: What is Key West Hma Physician Management LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since November 02, 2021CLIA 10D2168662 · Waiver

1111 12TH ST STE 103, KEY WEST, FL 33040(305) 294-5727(305) 294-6160 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Key West Hma Physician Management Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEY WEST HMA PHYSICIAN MANAGEMENT LLC (NPI 1386309516) is a healthcare organization registered as an otolaryngology in Key West, Florida and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through July 4, 2027 and lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1386309516

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NameKEY WEST HMA PHYSICIAN MANAGEMENT LLC

Location Address1111 12TH ST STE 103Key West, FL 33040-4084

Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7211

Phone(305) 294-5727

Fax(305) 294-6160

Organization SubpartNo

Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334

Enumeration DateNovember 2, 2021

Last NPPES UpdateMarch 16, 2022

NPPES CertifiedMarch 16, 2022

✔ NPI 1386309516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1111 12TH ST STE 103, Key West, FL 33040

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Other Names 1

Doing Business AsKey West Hma Physician Management Llc

Other Identifiers 1

MedicaidPENDINGFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2168662

Key West Hma Physician Management, LLC · Key West, FL

Active · expires Jul 4, 2027

CLIA Number10D2168662

Laboratory TypePhysician Office

Certificate Effective DateJuly 5, 2025

Certificate Expiration DateJuly 4, 2027

Laboratory DirectorOrlando Lopez-Roman

Laboratory Phone(305) 294-5727

Laboratory LocationKey West Hma Physician Management, LLC1111 12th St Ste 210, Key West, FL 33040

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARILEE M MEELER PA-C

Physician Assistant (Medical)