Organization
MEDIQ HEALTH LLC
Active
Organization
MEDIQ HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ALLEN VESCHI (MANAGING DIRECTOR)
(813) 862-8668
Entity
Organization
Contact information
Practice address
2445 MERCHANT AVE STE C, ODESSA, FL 33556-3466
(181) 386-2866
(817) 887-3487
Mailing address
11051 RANCHO PL, FORT WORTH, TX 76244-4859
(813) 862-8668
(817) 887-3487
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
364SF0001X
Family Health Clinical Nurse Specialist
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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