Healthcare Provider Details

I. General information

NPI: 1093985715
Provider Name (Legal Business Name): QUALITY GROUP MEDICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2008
Last Update Date: 03/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 NE 167TH ST
N MIAMI BEACH FL
33162-3711
US

IV. Provider business mailing address

951 NE 167TH ST
N MIAMI BEACH FL
33162-3711
US

V. Phone/Fax

Practice location:
  • Phone: 305-650-8758
  • Fax: 305-650-8759
Mailing address:
  • Phone: 305-650-8758
  • Fax: 305-650-8759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: OSMEL GARCIA
Title or Position: PRESIDENT
Credential:
Phone: 786-444-7688