Village of Tequesta Florida Village of Tequesta

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

002551 Issued in FL

Legal business name

VILLAGE OF TEQUESTA FLORIDA VILLAGE OF TEQUESTA

Doing business as

Tequesta Fire Rescue

Practice address

357 Tequesta Dr
Tequesta, FL 33469-3088

Phone

(561) 768-0550

Fax

(561) 768-0693

NPI assigned

Jul 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Joel A Medina

Title

Fire Chief

Phone

(561) 768-0550

Specialties & licenses 1

Addresses

Other names 1

• Tequesta Fire Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1821098492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 TEQUESTA DR",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334693062",
            "telephone_number": "561-768-0550",
            "fax_number": "561-768-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 TEQUESTA DR",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334693088",
            "telephone_number": "561-768-0550",
            "fax_number": "561-768-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF TEQUESTA FLORIDA VILLAGE OF TEQUESTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "561-768-0550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "002551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tequesta Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sofia Tzavaras
• Jennifer Van Horn, DT, MS HS
• Sandra M Van Keuren, OTR/L
• Ki Ross Vaughn, D.C.
• Mary Katherine Venegas, LMHC
• Alberto Villalobos, DMD
• Sharon Ann Vitale, N.P.-C
• Walgreen Co (Walgreens #04916)
• Teodora C Walker, ARNP
• Waterway Dermatology PLLC (Spyglass Dermatology)

• Land Ambulance in Tequesta, FL
• Providers in Tequesta, FL by specialty
• Land Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.