| Big Pine Medical & Minor Emergency | |
|
29960 Overseas Hwy Big Pine Key FL 33043-3362 | |
| (305) 872-3321 | |
| Not Available |
| Full Name | Big Pine Medical & Minor Emergency |
|---|---|
| Speciality | General Practice |
| Location | 29960 Overseas Hwy, Big Pine Key, Florida |
| Authorized Official Name and Position | David F Grider (PHYSICIAN/OWNER) |
| Authorized Official Contact | 3058723321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Pine Medical & Minor Emergency Po Box 536 Big Pine Key FL 33043-0536 Ph: (305) 872-3321 | Big Pine Medical & Minor Emergency 29960 Overseas Hwy Big Pine Key FL 33043-3362 Ph: (305) 872-3321 |
| NPI Number | 1033375530 |
|---|---|
| Provider Enumeration Date | 08/04/2008 |
| Last Update Date | 08/21/2024 |
| Medicare PECOS PAC ID | 4880714583 |
|---|---|
| Medicare Enrollment ID | O20110303000199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033375530 | NPI | - | NPPES |
| 068152100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | OS0004048 (Florida) | Primary |
| Provider Name | Tabble B Memoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184976615 PECOS PAC ID: 1254586076 Enrollment ID: I20130228000459 |
| Provider Name | Gregory A Keifer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184127912 PECOS PAC ID: 2668716721 Enrollment ID: I20221026000005 |
| Provider Name | Kaleigh Sarah Stricklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205699741 PECOS PAC ID: 4082051529 Enrollment ID: I20240320001917 |