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Old Town Community Health Center

NPI 1548488778ActiveOrganization· General Practice· Key West, FL

General Practice in Key West, Florida, registered in NPPES in April 2007. The authorized official on file is Ivis Fonseca, Billing Manager.

Overview

NPI1548488778
StatusActive
Entity typeOrganization
NPI issuedApr 23, 2007
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000XME0049975FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other general practitioners in Key West

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