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NPI Code Detail

MEDICARE: PHYSICIANS FOR QUALITY HEALTHCARE, INC.

MEDICARE: PHYSICIANS FOR QUALITY HEALTHCARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1023433984
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICIANS FOR QUALITY HEALTHCARE, INC.
Provider Business Mailing Address
First Line : 6150 DIAMOND CENTRE CT
Second Line : BLDG 100
City : FORT MYERS
State : FL
Zip : 33912
Country : US
Telephone Number : 239-768-6396
Fax Number : 239-204-3000
Provider Business Practice Location Address
First Line : 6444 BEACH BLVD STE 200
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32216-2891
Country : US
Telephone Number : 239-768-6396
Fax Number : 239-204-3000
Authorized Official
Title or Position : CEO
Name : MR. GEORGE GHANEM
Credential :
Telephone Number : 239-768-6396
Provider Enumeration Date : 02/28/2014
Last Update Date : 06/17/2019

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Directions to “PHYSICIANS FOR QUALITY HEALTHCARE, INC. ” Practice Location

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