NPI Code Details Logo

NPI 1598612780

NPI 1598612780 : EMR QUICK : TITUSVILLE, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1598612780
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    EMR QUICK 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/16/2026
-----------------------------------------------------
    Last Update Date     |    03/16/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2000 CHENEY HWY STE 103-310 
-----------------------------------------------------
    City                 |    TITUSVILLE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32780-6028
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    877-297-4081
-----------------------------------------------------
    Fax                  |    678-391-5920
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 645 
-----------------------------------------------------
    City                 |    NORCROSS
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30091-0645
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    877-297-4081
-----------------------------------------------------
    Fax                  |    678-391-5920
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    BILLING DEVELOPMENT DIRECTER
-----------------------------------------------------
    Name                 |    MR. RODNEY FRANK MCCONKEY 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    770-823-1510
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251G00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Based Hospice Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    251J00000X
-----------------------------------------------------
    Taxonomy Name        |    Nursing Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    251K00000X
-----------------------------------------------------
    Taxonomy Name        |    Public Health or Welfare Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    251T00000X
-----------------------------------------------------
    Taxonomy Name        |    PACE Provider Organization
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    261Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    281P00000X
-----------------------------------------------------
    Taxonomy Name        |    Chronic Disease Hospital
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    282N00000X
-----------------------------------------------------
    Taxonomy Name        |    General Acute Care Hospital
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #9
-----------------------------------------------------
    Taxonomy Code        |    332B00000X
-----------------------------------------------------
    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #10
-----------------------------------------------------
    Taxonomy Code        |    333600000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacy
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #11
-----------------------------------------------------
    Taxonomy Code        |    335E00000X
-----------------------------------------------------
    Taxonomy Name        |    Prosthetic/Orthotic Supplier
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #12
-----------------------------------------------------
    Taxonomy Code        |    156F00000X
-----------------------------------------------------
    Taxonomy Name        |    Technician/Technologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.