Organization Active NPI

Tequesta Urgent Care, LLC.

  • Urgent Care Clinic/Center
  • Tequesta, FL
National Provider Identifier
1508840208
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
HCC5420 Issued in FL
Legal business name
TEQUESTA URGENT CARE, LLC.
Practice address
1 Main St
Suite 102
Tequesta, FL 33469-4709
Phone
(561) 747-4464
Fax
(561) 747-5598
NPI assigned
Dec 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Francine Greco, D.O.
Title
Partner
Phone
(561) 747-4464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X HCC5420 FL Primary

Addresses

Primary practice location

1 Main St
Suite 102
Tequesta, FL 33469-4709

Mailing address

1 Main St
Suite 102
Tequesta, FL 33469-4709
Phone (561) 747-4464

Other identifiers 1

IdentifierTypeStateIssuer
B903FOtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508840208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MAIN ST",
            "address_2": "SUITE 102",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334694709",
            "telephone_number": "561-747-4464",
            "fax_number": "561-747-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAIN ST",
            "address_2": "SUITE 102",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334694709",
            "telephone_number": "561-747-4464",
            "fax_number": "561-747-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEQUESTA URGENT CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "561-747-4464",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "HCC5420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "B903F",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tequesta, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.