Provider Demographics
NPI:1073283008
Name:TALQUIN INC
Entity type:Organization
Organization Name:TALQUIN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:SATONA
Authorized Official - Last Name:QUINCE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:772-255-8492
Mailing Address - Street 1:5000 W MIDWAY RD UNIT 13317
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34981-8056
Mailing Address - Country:US
Mailing Address - Phone:877-825-7846
Mailing Address - Fax:877-881-1049
Practice Address - Street 1:5000 W MIDWAY RD
Practice Address - Street 2:UNIT 13317
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34981-1900
Practice Address - Country:US
Practice Address - Phone:877-825-7846
Practice Address - Fax:877-881-1049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-21
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty