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NPI Code Detail

MEDICARE: QUANTUM MEDICAL SUPPLY, INC.

MEDICARE: QUANTUM MEDICAL SUPPLY, 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
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

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

General Provider Information

NPI Number : 1134173529
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUANTUM MEDICAL SUPPLY, INC.
Provider Business Mailing Address
First Line : 1818 S AUSTRALIAN AVE STE 301&304
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33409-6452
Country : US
Telephone Number : 561-432-8200
Fax Number : 561-432-8205
Provider Business Practice Location Address
First Line : 1818 S AUSTRALIAN AVE STE 301&304
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33409-6452
Country : US
Telephone Number : 561-432-8200
Fax Number : 561-432-8205
Authorized Official
Title or Position : PRESIDENT
Name : MR. MARC JASON VETRANO
Credential : CPED
Telephone Number : 561-432-8200
Provider Enumeration Date : 05/20/2006
Last Update Date : 03/14/2024

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Directions to “QUANTUM MEDICAL SUPPLY, INC. ” Practice Location

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