Healthcare Provider Details

I. General information

NPI: 1215854138
Provider Name (Legal Business Name): QUEEN BEE CUISINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

547 NW 47TH WAY
COCONUT CREEK FL
33063-6737
US

IV. Provider business mailing address

547 NW 47TH WAY
COCONUT CREEK FL
33063-6737
US

V. Phone/Fax

Practice location:
  • Phone: 786-509-5082
  • Fax:
Mailing address:
  • Phone: 786-509-5082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SAMEERA QADUSI
Title or Position: COO
Credential:
Phone: 786-509-5082