# TEQUESTA MEDICAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619291234
- **Authorized official:** MR. JASON T. ACKNER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (772) 546-3455

## Contact information

- **Practice address:** 11900 SE FEDERAL HWY, SUITE 212, HOBE SOUND, FL 33455-5320
- **Practice address phone:** (772) 546-3455
- **Mailing address:** 11900 SE FEDERAL HWY, SUITE 212, HOBE SOUND, FL 33455-5320
- **Mailing address phone:** (772) 546-3455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/25/2010
- **Last updated:** 01/31/2011