MEDICARE: QUANTUM BIO 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	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1932041555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUANTUM BIO LLC

Provider Business Mailing Address
First Line	:	411 S FEDERAL HWY STE D
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-4170
Country	:	US
Telephone Number	:	561-375-4514
Fax Number	:	561-634-3249

Provider Business Practice Location Address
First Line	:	411 S FEDERAL HWY STE D
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-4170
Country	:	US
Telephone Number	:	561-375-4514
Fax Number	:	561-634-3249

Authorized Official
Title or Position	:	OWNER
Name	:	DWIGHT LAVICKUS ANTONIO TOOMBS II
Credential	:
Telephone Number	:	561-375-4514

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

Similar Medicare Providers

1790303394 — WHITE TIP PHARMACY LLC
Practice Location Address:

411 S FEDERAL HWY STE D
DEERFIELD BEACH, FL
33441-4170

Practice Phone: 954-531-0211
Practice Fax:

1588264568 — PHILIP JAY ALSTEN RPH.
Practice Location Address:

411 S FEDERAL HWY STE D
DEERFIELD BEACH, FL
33441-4170

Practice Phone: 954-531-0211
Practice Fax: 954-531-0241

1144265364 — VINCE TRUONG D.O.
Practice Location Address:

7834 GLENCOE AVE
HUNTINGTON BEACH, CA
92647-4170

Practice Phone: 586-212-3164
Practice Fax: 310-379-4856

1184901290 — LAURA VAZZO MCDEVITT M.ED.,R.D.,LD/N
Practice Location Address:

428 CLEARWATER DR
PONTE VEDRA BEACH, FL
32082-4170

Practice Phone: 904-469-1717
Practice Fax:

1215475041 — FABIENNE BLANC LPN
Practice Location Address:

4170 BEAR LAKES CT , APT 304 BLDG 7
WEST PALM BEACH, FL
33409-7745

Practice Phone: 561-523-4709
Practice Fax:

1154954840 — AMANDA C PERAZA LCSW 114253
Practice Location Address:

4170 ELM AVE UNIT 315
LONG BEACH, CA
90807-6912

Practice Phone: 714-383-5327
Practice Fax:

Directions to “QUANTUM BIO LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.