Provider Demographics
NPI:1689808354
Name:TEQUESTA PRIMARY CARE, INC.
Entity Type:Organization
Organization Name:TEQUESTA PRIMARY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:RIMMER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-747-4464
Mailing Address - Street 1:1 MAIN ST STE 102
Mailing Address - Street 2:
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469-4710
Mailing Address - Country:US
Mailing Address - Phone:561-747-4464
Mailing Address - Fax:561-747-5598
Practice Address - Street 1:1 MAIN ST STE 102
Practice Address - Street 2:
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469-4710
Practice Address - Country:US
Practice Address - Phone:561-747-4464
Practice Address - Fax:561-747-5598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-11
Last Update Date:2009-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty