MEDICARE: QUEST HEALTH REMOTE CARE 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
1	207P00000X	Emergency Medicine Physician

General Provider Information

NPI Number	:	1720794019
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUEST HEALTH REMOTE CARE LLC

Provider Business Mailing Address
First Line	:	7351 WILES RD STE 104
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-4106
Country	:	US
Telephone Number	:	754-778-7147
Fax Number	:

Provider Business Practice Location Address
First Line	:	7351 WILES RD STE 104
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-4106
Country	:	US
Telephone Number	:	754-778-7147
Fax Number	:	754-778-7269

Authorized Official
Title or Position	:	OWNER
Name	:	PHILIP VASTA
Credential	:
Telephone Number	:	754-778-7147

Provider Enumeration Date	:	01/30/2023
Last Update Date	:	03/06/2024

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Directions to “QUEST HEALTH REMOTE CARE LLC ” Practice Location

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