| Tequesta Family Medical Center, Llc | |
|
851 N Us Highway 1 Tequesta FL 33469-2348 | |
| (561) 743-8362 | |
| Not Available |
| Full Name | Tequesta Family Medical Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 851 N Us Highway 1, Tequesta, Florida |
| Authorized Official Name and Position | Mark Lange Corry (PRESIDENT) |
| Authorized Official Contact | 5617438362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tequesta Family Medical Center, Llc 851 N Us Highway 1 Tequesta FL 33469-2348 Ph: (561) 743-8362 | Tequesta Family Medical Center, Llc 851 N Us Highway 1 Tequesta FL 33469-2348 Ph: (561) 743-8362 |
| NPI Number | 1396099883 |
|---|---|
| Provider Enumeration Date | 11/05/2012 |
| Last Update Date | 11/05/2012 |
| Medicare PECOS PAC ID | 6507010709 |
|---|---|
| Medicare Enrollment ID | O20130215000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396099883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME78193 (Florida) | Primary |
| Provider Name | Kelly C Zukowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528380839 PECOS PAC ID: 0143352112 Enrollment ID: I20100712000093 |
| Provider Name | Mark L Corry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093898397 PECOS PAC ID: 5496943946 Enrollment ID: I20101228000132 |
| Provider Name | Paul R Skomra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184039448 PECOS PAC ID: 9436463668 Enrollment ID: I20191104002853 |
| Provider Name | Stacy Rohr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396410163 PECOS PAC ID: 8426455569 Enrollment ID: I20210916001431 |
Tequesta Family Practice Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 395 B Tequesta Dr, Tequesta, FL 33458 Phone: 561-746-4333 Fax: 561-746-4449 | |
Forge Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 169 Tequesta Dr Ste 12e, Tequesta, FL 33469 Phone: 561-600-0194 Fax: 954-301-3742 | |
Best Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 364 Cypress Dr Ste 201, Tequesta, FL 33469 Phone: 561-578-8080 Fax: 973-755-0309 | |
Tequesta Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 169 Tequesta Dr, Suite 12e, Tequesta, FL 33469 Phone: 561-747-7672 Fax: 561-743-3667 | |
Primary Care Services Of Jupiter Medical Specialists, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 169 Tequesta Dr, Suite 12e, Tequesta, FL 33469 Phone: 561-263-4477 | |
Jupiter Medical Center Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 Tequesta Dr, Suite 102, Tequesta, FL 33469 Phone: 561-748-2889 Fax: 561-748-1523 |