MEDICARE: QUALITY ASSURED SERVICES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	1102	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043209877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY ASSURED SERVICES INC.

Provider Business Mailing Address
First Line	:	1101 GREENWOOD BLVD UNIT 3001
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-5414
Country	:	US
Telephone Number	:	866-683-7331
Fax Number	:	888-563-9635

Provider Business Practice Location Address
First Line	:	1101 GREENWOOD BLVD UNIT 3001
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-5414
Country	:	US
Telephone Number	:	866-683-7331
Fax Number	:

Authorized Official
Title or Position	:	DVP AND GENERAL MANAGER
Name	:	RYAN LAKIN
Credential	:
Telephone Number	:	469-506-8716

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	03/02/2026

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