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SOUTHERN MEDICAL GROUP
NPI 1477605285
Internal Medicine in Key West, FL

Active since January 18, 2007
1111 12TH ST, SUITE210, KEY WEST, FL 33040(305) 296-2414 Get Directions Write a Review

NPPES record last updated: February 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Medical Group NPPES

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

SOUTHERN MEDICAL GROUP (NPI 1477605285) is a healthcare organization registered as an internal medicine in Key West, Florida and active in the NPI registry since January 2007. The organization lists Lisa Lacova, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1477605285
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameKEY WEST MEDICAL GROUP P A
Location Address1111 12TH ST, SUITE210Key West, FL 33040-4088
Mailing Address1111 12th St, Suite210Key West, FL 33040-4088 · (305) 296-2414
Phone(305) 296-2414
Organization SubpartNo
Authorized OfficialLisa LacovaBilling Manager · (954) 426-1186
Enumeration DateJanuary 18, 2007
Last NPPES UpdateFebruary 11, 2011
✔ NPI 1477605285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1111 12TH ST, Key West, FL 33040
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Other Names 1

Doing Business AsSouthern Medical Group

Other Identifiers 2

Medicaid067849000FL
Medicare PINK3191FL

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

STEVEN TAKAS MD
Pediatrics
1111 12TH ST, STE 311
KEY WEST, FL 33040
Monroe County (305) 295-6700
ROBERT W DOUVILLE MD PA
Ophthalmology
1111 12TH ST, STE 107
KEY WEST, FL 33040
Monroe County (305) 294-8494
NANCY JEAN KAPLITZ MD PA
Psychiatry & Neurology (Neurology)
1111 12TH ST, SUITE 110
KEY WEST, FL 33040
Monroe County (305) 293-0005
EDUARDO R GONZALEZ-BLANCO M.D.
Urology
1111 12TH ST, SUITE 108
KEY WEST, FL 33040
Monroe County (305) 294-5576
FL KEYS INTENSIVE OUTPATIENT PROGRAM, LLC
Psychiatry & Neurology (Psychiatry)
1111 12TH ST, SUITE 413
KEY WEST, FL 33040
Monroe County (305) 294-9554
PEDIATRICS ALLIANCE LLC
Pediatrics
1111 12TH ST, STE 311
KEY WEST, FL 33040
Monroe County (305) 295-6700
JOSEPH OLEAR MD
Psychologist (Prescribing (Medical))
1111 12TH ST, 106
KEY WEST, FL 33040
Monroe County (305) 294-9554
STANLEY RIVERA SANTIAGO MD
Obstetrics & Gynecology
1111 12TH ST, SUITE 104
KEY WEST, FL 33040
Monroe County (305) 293-1830

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Key West Medical Group P A's NPI number?

The NPI number for Key West Medical Group P A is 1477605285. It was assigned to this organization in the NPPES registry on January 18, 2007. The provider is doing business as Southern Medical Group.

Where is Key West Medical Group P A located?

Key West Medical Group P A is located at 1111 12th St Suite210, Key West, FL 33040. The listed phone number is (305) 296-2414.

What is Key West Medical Group P A's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Key West Medical Group P A was last updated on February 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.