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NPI Code Detail

MEDICARE: QUICK CARE MED, LLC

MEDICARE: QUICK CARE MED, LLC
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
1332900000XNon-Pharmacy Dispensing Site
2208D00000XGeneral Practice Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215599949
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUICK CARE MED, LLC
Provider Business Mailing Address
First Line : PO BOX 2066
Second Line :
City : LECANTO
State : FL
Zip : 34460-2066
Country : US
Telephone Number : 352-563-0931
Fax Number : 352-563-0935
Provider Business Practice Location Address
First Line : 3925 N LECANTO HWY
Second Line :
City : BEVERLY HILLS
State : FL
Zip : 34465-3507
Country : US
Telephone Number : 352-527-7336
Fax Number : 352-513-2030
Authorized Official
Title or Position : CRED SPEC
Name : DEAN C MAJOR
Credential :
Telephone Number : 352-634-8736
Provider Enumeration Date : 07/02/2019
Last Update Date : 04/06/2023

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