| Monroe County | |
|
1100 Simonton St Key West FL 33040-3110 | |
| (305) 293-7500 | |
| (305) 292-6872 |
| Full Name | Monroe County |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 Simonton St, Key West, Florida |
| Authorized Official Name and Position | Robert Eadie (ADMINSTRATOR) |
| Authorized Official Contact | 3058095610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Monroe County 1100 Simonton St Key West FL 33040-3110 Ph: (305) 293-7500 | Monroe County 1100 Simonton St Key West FL 33040-3110 Ph: (305) 293-7500 |
| NPI Number | 1639148919 |
|---|---|
| Provider Enumeration Date | 03/17/2006 |
| Last Update Date | 02/28/2023 |
| Certification Date | 02/28/2023 |
| Medicare PECOS PAC ID | 3072424282 |
|---|---|
| Medicare Enrollment ID | O20100520000870 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639148919 | NPI | - | NPPES |
| 0279544 00 | Medicaid | FL | |
| AY168 | Other | FL | THIRD PARTY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | () | Primary |
| Provider Name | Taweh Beysolow |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1720065212 PECOS PAC ID: 9830241975 Enrollment ID: I20090721000139 |
| Provider Name | Kathy Ann Oconnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356727705 PECOS PAC ID: 4789970567 Enrollment ID: I20160902000479 |
| Provider Name | Alyssa Jolie Suggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194372912 PECOS PAC ID: 8325460330 Enrollment ID: I20200622000480 |
| Provider Name | Desiree Rengifo-glasgow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215436993 PECOS PAC ID: 7810376175 Enrollment ID: I20220617000386 |
| Provider Name | Alicia Cosma Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609119205 PECOS PAC ID: 8123533858 Enrollment ID: I20250711003923 |
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