Medicinal Technologies

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MEDICINAL TECHNOLOGIES

Practice address

4440 Pga Blvd Ste 600
Palm Beach, FL 33410

Phone

(833) 363-6436

Fax

(833) 363-3466

NPI assigned

Feb 28, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Sheryene Tejeda

Title

Ceo of Medicinal Technologies

Phone

(305) 922-3713

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1740936806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 MONTGOMERY RD # 2055",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147420",
            "telephone_number": "833-363-6436",
            "fax_number": "833-363-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 PGA BLVD STE 600",
            "city": "PALM BEACH",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "833-363-6436",
            "fax_number": "833-363-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINAL TECHNOLOGIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "TEJEDA",
        "authorized_official_first_name": "SHERYENE",
        "authorized_official_title_or_position": "CEO OF  MEDICINAL TECHNOLOGIES",
        "authorized_official_telephone_number": "305-922-3713",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Elizabeth Marchon, LCSW
• Neville S Marks, M.D.
• Mindy W. Martin, PH.D.
• Petra Kaye McEwan, MD
• MCW Psych Care MD, LLC
• Jennifer Boyajian Medina, D.M.D.
• Paul Melchiorre, DMD
• Susan L Merola-McConn, MD
• Myeyedr Optometry of Florida, LLC (MyEyeDr.)
• Nadroj Helping Hands, LLC.

• Clinical Medical Laboratory in Palm Beach, FL
• Providers in Palm Beach, FL by specialty
• Clinical Medical Laboratory in Florida

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