Tequesta Medical Services, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

TEQUESTA MEDICAL SERVICES, LLC

Practice address

11900 SE Federal Hwy
Suite 212
Hobe Sound, FL 33455-5320

Phone

(772) 546-3455

NPI assigned

Mar 25, 2010

Last updated

Jan 31, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jason T. Ackner

Title

Executive Director

Phone

(772) 546-3455

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1269475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1619291234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 SE FEDERAL HWY",
            "address_2": "SUITE 212",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334555320",
            "telephone_number": "772-546-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 SE FEDERAL HWY",
            "address_2": "SUITE 212",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334555320",
            "telephone_number": "772-546-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEQUESTA MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-25",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "ACKNER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "772-546-3455",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Hobe Sound, FL
• Providers in Hobe Sound, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.

Verify at the official NPI Registry.