| Tequesta Family Practice Pa | |
|
395 B Tequesta Dr Tequesta FL 33458-3053 | |
| (561) 746-4333 | |
| (561) 746-4449 |
| Full Name | Tequesta Family Practice Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 395 B Tequesta Dr, Tequesta, Florida |
| Authorized Official Name and Position | Raymond J Oenbrink (DOCTOR) |
| Authorized Official Contact | 5617464333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tequesta Family Practice Pa 395 B Tequesta Dr Tequesta FL 33458-3053 Ph: (561) 746-4333 | Tequesta Family Practice Pa 395 B Tequesta Dr Tequesta FL 33458-3053 Ph: (561) 746-4333 |
| NPI Number | 1003084997 |
|---|---|
| Provider Enumeration Date | 02/14/2008 |
| Last Update Date | 03/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003084997 | NPI | - | NPPES |
| K1217 | Other | FL | MEDICARE GROUP ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS5132 (Florida) | Primary |
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