Healthcare Provider Details

I. General information

NPI: 1013927029
Provider Name (Legal Business Name): MEDICAL RESOURCES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 03/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 S US HIGHWAY 1
VERO BEACH FL
32962-5606
US

IV. Provider business mailing address

1175 S US HIGHWAY 1
VERO BEACH FL
32962-5606
US

V. Phone/Fax

Practice location:
  • Phone: 772-299-8100
  • Fax: 772-794-1386
Mailing address:
  • Phone: 772-794-0030
  • Fax: 772-794-1386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: MRS. TONI TERESI
Title or Position: CEO
Credential:
Phone: 772-410-0225