Healthcare Provider Details
I. General information
NPI: 1891312856
Provider Name (Legal Business Name): QUALITY CARE & HEALTH SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/25/2020
Last Update Date: 07/02/2021
Certification Date: 07/02/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2135 S CONGRESS AVE STE 4B
PALM SPRINGS FL
33406-7611
US
IV. Provider business mailing address
2135 S CONGRESS AVE STE 4B
PALM SPRINGS FL
33406-7611
US
V. Phone/Fax
- Phone: 561-965-6333
- Fax: 866-678-3710
- Phone: 561-965-6333
- Fax: 866-678-3710
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0200X |
| Taxonomy | Infectious Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ODIEL
JEAN-BAPTISTE
Title or Position: MEDICAL DIRECTOR/OWNER
Credential: MD
Phone: 718-840-7121