Healthcare Provider Details

I. General information

NPI: 1760398929
Provider Name (Legal Business Name): QUALITY HOSPITALIST GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12600 PEMBROKE RD STE 204
MIRAMAR FL
33027-2544
US

IV. Provider business mailing address

12600 PEMBROKE RD STE 204
MIRAMAR FL
33027-2544
US

V. Phone/Fax

Practice location:
  • Phone: 954-987-6276
  • Fax: 954-430-5800
Mailing address:
  • Phone: 954-987-6276
  • Fax: 954-430-5800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: MUDASIRU A CAREW
Title or Position: PRESIDENT
Credential: DO
Phone: 954-987-6276