Organization Name: | QUICK CARE MEDICAL |
NPI Number: | 1447245162 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETSY JOAN LEVIN (PRESIDENT) |
Mailing Address: | 645 Ridgewood Ave Holly Hill |
State: | FL US |
Postal Code: | 321173617 |
Phone Number: | 3862585227 |
Fax Number: | 3862557348 |
NPI Enumeration Date: | 09/19/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |