Individual ProviderAlicia D. MonroeFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address12901 Bruce B Downs Blvd, Mdc13, Tampa, FL 33612-4742(813) 974-2918PECOS EnrollmentBased on the most recent information from CMS, provider Alicia D. Monroe does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:14 AM.Profile DetailsProvider ID1477503605Provider TypeIndividualFull NameMonroe, Alicia D.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date5/10/2006Last Updated12/17/2008Contact InformationPractice LocationPractice Address12901 Bruce B Downs Blvd, Mdc13, Tampa, FL 33612-4742Phone(813) 974-2918FaxUnlisted FaxMailing LocationMailing AddressPO Box 917770, Orlando, FL 32891-7770PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseME103009FloridaCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseMD07597Rhode IslandProvider IdentifiersIDDescriptionIssuerID9006545DescriptionMedicaidIssuerUnlistedRhode Island