Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Key West Medical Group P A

Organization Internal Medicine Physician · NPI 1477605285

Key West Medical Group P A is an Internal Medicine Physician in Key West, Florida. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1111 12th St SUITE210
Key West, FL 33040-4088
Phone: (305) 296-2414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1477605285
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Lacova — Billing Manager · (954) 426-1186
Other names Southern Medical Group
NPI enumeratedJanuary 18, 2007
Last updated in NPPESFebruary 11, 2011
Mailing address1111 12th St, Suite210, Key West, FL 33040-4088

Other providers in Key West