Organization Name: | QUANTUM MEDICAL SOLUTIONS INC |
NPI Number: | 1477720845 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD LUBETSKY (PDT) |
Mailing Address: | 5124 Hollywood Blvd Hollywood |
State: | FL US |
Postal Code: | 330216518 |
Phone Number: | 9549870380 |
Fax Number: | 9549870390 |
NPI Enumeration Date: | 05/14/2008 |
NPI Last Update Date: | 05/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |