Cold & Flu Symptoms
Fever, cough, sore throat, sinus pressure with rapid testing

Same-week appointments for colds, infections, sprains, and minor injuries, close to home in the Keys
Common Illness, Local Office
When a Lower Keys resident wakes up sick, with fever, sinus pressure, urinary symptoms, a possible sprain or a wound that needs attention, the default for many is a long drive to urgent care or the ER in Marathon. Hours of waiting, an unfamiliar provider and a hospital-level bill follow. For most everyday illnesses and minor injuries, that path is more than is needed.
Sick visits at Florida Keys Primary Care give Big Pine Key residents a faster, friendlier alternative. Call our office during business hours and we will work to see you the same day whenever possible. Dr. Keifer or Tabble Memoli diagnose and treat most common illnesses on the spot, prescribe medications, perform rapid testing, and handle minor injuries that don't require imaging or surgery, all in our familiar Lower Keys office.
Acute Primary Care
A sick visit is a focused, often same-day primary-care appointment for non-emergency illness or minor injury, things like a fever, cough, sore throat, sinus infection, urinary tract infection, rash, mild sprain, small cut or abdominal pain. Unlike emergency rooms, sick visits in primary care are built for common conditions and use your existing chart, your medications and your family history to deliver care that fits.
At Florida Keys Primary Care in Big Pine Key, sick visits are managed by Dr. Gregory Keifer, D.O. and APRN Tabble Memoli, MSN. Both clinicians are trained in acute primary care and bring decades of experience with the conditions Lower Keys residents most often face. Rapid strep, flu and COVID testing are available in-office. Minor lacerations, abscesses or splinters can often move directly to in-office procedures. Established patients get the added benefit of having every visit added to the same continuous medical record.
Sick visits are intentionally narrow, they are not a substitute for an annual physical exam or for ongoing chronic disease management, both of which deserve dedicated time. But for the moments when something acute happens, our sick-visit service keeps care close to home.
Faster, Cheaper, Friendlier
2000+ Satisfied patients
Save hours and ER-level fees for non-emergency issues
See the same physician practice that knows your medical history
Strep, flu and COVID results in 15 minutes
Standard office copay versus hospital-level urgent care fees
Visit notes flow into your full Florida Keys Primary Care chart
Where to Go When You're Sick
| Setting | Wait Time | Cost | Provider | Records | Best For | When to Avoid |
|---|---|---|---|---|---|---|
| FL Keys Primary Care Sick Visit | Same day when possible, by appointment | Office copay | Familiar physician practice | Integrated chart | Common illness and minor injury | True emergencies |
| Urgent Care (Marathon/Key West) | 30-90 minutes typical | $100-$250 + insurance | Different each visit | Standalone record | After-hours acute care | Established patients with charts here |
| Emergency Room | Hours of waiting | $1,000+ ER fees | Whoever is on shift | Hospital record | Trauma, chest pain, stroke symptoms | Common cold or simple UTI |
Most Adults and Older Children
Sick visits fit most adults and many children with sudden, common, non-emergency conditions. If you are unsure whether your situation is appropriate for a same-day sick visit or needs the ER, call our office at (305) 872-3321 and we will help you decide. Many issues that start as sick visits can move directly to in-office procedures the same day if needed.
When in doubt about a child or any severe symptom, do not delay, call 911 or go to the nearest ER.
What to expect during your same-day visit, from quick check-in to evaluation and treatment
Our front desk verifies same-day availability and registers you quickly.
Our medical assistant takes vitals and the chief complaint to triage the visit.
Dr. Keifer or Tabble Memoli examines you, orders rapid tests if needed, and reaches a diagnosis.
Prescriptions are sent electronically; minor procedures are completed same-visit when appropriate.
We do not provide routine follow-up after sick visits; call us if your symptoms change or worsen.
Common visit effects, medication reactions, and when to escalate to emergency care for safety
Sick visits are billed as standard office visits. For patients with insurance, your normal copay or coinsurance applies, typically far less than urgent care or emergency room costs for the same condition. Florida Keys Primary Care accepts most major insurance plans serving the Lower Keys, including Medicare, Medicare Advantage, BCBS, Aetna, Cigna and United.
Self-pay patients can finance unexpected medical costs through Cherry or Care Credit, both accepted at our front desk. If your sick visit identifies a need for a follow-up procedure, we can move directly to in-office procedures the same day, often saving an additional visit charge.
Same-week appointments for colds, infections, and minor injuries with the physician you already know
Same trusted Big Pine Key office, same familiar staff
Save the long drive to Marathon or Key West for true emergencies
Many visits handled completely without referral
Notes integrated with your annual physical and chronic care records
Get seen quickly when you're not feeling your best
No urgent care strangers, just your regular doctor
Care that fits naturally with same-day sick visits.
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Cold and flu, sinus infections, sore throats, UTIs, ear infections, pink eye, skin infections, minor sprains, rashes, stomach illness and many more common, non-emergency conditions.
Yes, sick visits are scheduled appointments. Call (305) 872-3321 first thing in the morning and we will work to fit you in the same day during office hours whenever possible.
Most patients calling early in the day are seen the same day during regular office hours. The earlier you call, the better our chances of fitting you in. Office hours are Monday through Friday.
Yes. We handle sprains, strains, minor cuts and lacerations, abscesses, splinters, burns and rashes that do not require imaging or surgical care. For suspected fractures, severe bleeding or major trauma, go directly to the emergency department.
We see patients age 2 and older; we do not see infants. Any child with severe symptoms should go directly to the emergency department.