Active NPI
Tequesta Health Center, Inc
- Family Medicine Physician
- Tequesta, FL
National Provider Identifier
1306067509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TEQUESTA HEALTH CENTER, INC
- Practice address
- 169 Tequesta Dr
Suite 12E
Tequesta, FL 33469-2768 - Phone
- (561) 747-7672
- Fax
- (561) 743-3667
- NPI assigned
- May 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark L Corry, M.D
- Title
- Physician Manager
- Phone
- (561) 747-7672
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | FL | Primary |
Addresses
Primary practice location
169 Tequesta Dr
Suite 12E
Tequesta, FL 33469-2768
Mailing address
169 Tequesta Dr
Suite 12E
Tequesta, FL 33469-2768
Phone (561) 747-7672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38678 | Other | FL | BCBS GROUP NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Tequesta, FL
- NPI 1487733861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294704000000",
"number": "1306067509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "169 TEQUESTA DR",
"address_2": "SUITE 12E",
"city": "TEQUESTA",
"state": "FL",
"postal_code": "334692768",
"telephone_number": "561-747-7672",
"fax_number": "561-743-3667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 TEQUESTA DR",
"address_2": "SUITE 12E",
"city": "TEQUESTA",
"state": "FL",
"postal_code": "334692768",
"telephone_number": "561-747-7672",
"fax_number": "561-743-3667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEQUESTA HEALTH CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-02",
"last_updated": "2011-01-11",
"status": "A",
"authorized_official_last_name": "CORRY",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PHYSICIAN MANAGER",
"authorized_official_telephone_number": "561-747-7672",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "38678",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tequesta, FL
- Tequesta Chiropractic & Wellness
- Tequesta Dental Associates, P. a.
- Tequesta Drugs Inc (Tequesta Drugs)
- Tequesta Family Medical Center, LLC
- Tequesta Family Practice PA
- Tequesta Primary Care, Inc.
- Tequesta Urgent Care Physical Therapy & Rehab LLC
- Tequesta Urgent Care, LLC.
- Terrace Communities Tequesta, LLC (Tequesta Terrace)
- The Medical Store
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.