Mediq Health LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

MEDIQ HEALTH LLC

Practice address

2445 Merchant Ave Ste C
Odessa, FL 33556-3466

Phone

(181) 386-2866

Fax

(817) 887-3487

NPI assigned

Dec 8, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Robert Allen Veschi

Title

Managing Director

Phone

(813) 862-8668

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1376254573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11051 RANCHO PL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444859",
            "telephone_number": "813-862-8668",
            "fax_number": "817-887-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 MERCHANT AVE STE C",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563466",
            "telephone_number": "181-386-2866",
            "fax_number": "817-887-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIQ HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "VESCHI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "813-862-8668",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Lee McPherson
• Stephanie Marcene McQuillan, APRN
• Meagan Fergen LCSW, LLC (Bay Haven Counseling)
• Med 1St LLC (Med 1St)
• Ismary Medina
• Nancy Mercurio
• Charlotte Sophia Mikulak
• Rhea Minnis
• Randal Eugene Minor, CERTIFIED OCULARIST
• Lauren Dominique Mishkin, MS, LMHC

• Medical Physician Assistant in Odessa, FL
• Providers in Odessa, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.