NPIMap

Organization Active NPI

Medmark Services, Inc.

  • Primary Care Clinic/Center
  • Vero Beach, FL
National Provider Identifier
1700129756
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
1623692 Issued in FL
Legal business name
MEDMARK SERVICES, INC.
Practice address
372 17TH Street
Vero Beach, FL 32960
Phone
(772) 299-4623
Fax
(772) 299-4632
NPI assigned
Mar 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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

Authorized official

Name
Ms. Erin L Inga, RN
Title
Administrator
Phone
(772) 299-4623

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 1623692 FL Primary

Addresses

Primary practice location

372 17TH Street
Vero Beach, FL 32960

Mailing address

372 17TH St
Vero Beach, FL 32960-5690
Phone (772) 299-4623

National Provider Directory

National Provider Directory
Tax ID family
Medmark Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

372 17th St
Vero Beach, FL 32960
Phone (772) 299-4623

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364428800000",
    "number": "1700129756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 17TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605690",
            "telephone_number": "772-299-4623",
            "fax_number": "772-299-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 17TH STREET",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-299-4623",
            "fax_number": "772-299-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDMARK SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A",
        "authorized_official_last_name": "INGA",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-299-4623",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "1623692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.