Provider Demographics
NPI:1750808192
Name:UPPER KEYS CONVENIENT CARE INC
Entity type:Organization
Organization Name:UPPER KEYS CONVENIENT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HEWSON-HUSSEY
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:305-393-1101
Mailing Address - Street 1:85960 OVERSEAS HWY STE 4
Mailing Address - Street 2:
Mailing Address - City:ISLAMORADA
Mailing Address - State:FL
Mailing Address - Zip Code:33036-3301
Mailing Address - Country:US
Mailing Address - Phone:305-741-7721
Mailing Address - Fax:888-219-0456
Practice Address - Street 1:85960 OVERSEAS HWY STE 4
Practice Address - Street 2:
Practice Address - City:ISLAMORADA
Practice Address - State:FL
Practice Address - Zip Code:33036-3301
Practice Address - Country:US
Practice Address - Phone:305-393-1101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-26
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty