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General NPI Number Information
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NPI Number | 1447245162
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Entity Type | Organization
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Legal Business Name | QUICK CARE MEDICAL
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 645 RIDGEWOOD AVE
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City | HOLLY HILL
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State | FL
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Zip | 32117-3617
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Country | US
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Telephone | 386-258-5227
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Fax | 386-255-7348
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Provider Business Mailing Address
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Address Line | 645 RIDGEWOOD AVE
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City | HOLLY HILL
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State | FL
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Zip | 32117-3617
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Country | US
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Telephone | 386-258-5227
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Fax | 386-255-7348
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. BETSY JOAN LEVIN
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Credential |
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Telephone | 386-788-1881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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