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NPI Code Detail

MEDICARE: MEDICAL RESOURCES, LLC

MEDICARE: MEDICAL RESOURCES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1305S00000XPoint of Service

General Provider Information

NPI Number : 1013927029
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL RESOURCES, LLC
Provider Business Mailing Address
First Line : 1175 S US HIGHWAY 1
Second Line :
City : VERO BEACH
State : FL
Zip : 32962-5606
Country : US
Telephone Number : 772-794-0030
Fax Number : 772-794-1386
Provider Business Practice Location Address
First Line : 1175 S US HIGHWAY 1
Second Line :
City : VERO BEACH
State : FL
Zip : 32962-5606
Country : US
Telephone Number : 772-299-8100
Fax Number : 772-794-1386
Authorized Official
Title or Position : CEO
Name : MRS. TONI TERESI
Credential :
Telephone Number : 772-410-0225
Provider Enumeration Date : 08/09/2006
Last Update Date : 03/31/2008

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Directions to “MEDICAL RESOURCES, LLC ” Practice Location

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