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NPI Code Detail

MEDICARE: QUALITY HEALTHCARE SERVICES PLLC

MEDICARE: QUALITY HEALTHCARE SERVICES PLLC
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
1207Q00000XFamily Medicine Physician

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 : 1184194334
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUALITY HEALTHCARE SERVICES PLLC
Provider Business Mailing Address
First Line : 6038 W NORDLING LOOP
Second Line :
City : CRYSTAL RIVER
State : FL
Zip : 34429-8715
Country : US
Telephone Number : 352-563-5070
Fax Number : 352-795-4322
Provider Business Practice Location Address
First Line : 6038 W NORDLING LOOP
Second Line :
City : CRYSTAL RIVER
State : FL
Zip : 34429-8715
Country : US
Telephone Number : 352-563-5070
Fax Number : 352-795-4322
Authorized Official
Title or Position : INSURANCE SPECIALIST
Name : RACHAEL GRANT-FLOYD
Credential :
Telephone Number : 352-563-5070
Provider Enumeration Date : 11/30/2018
Last Update Date : 11/30/2018

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Directions to “QUALITY HEALTHCARE SERVICES PLLC ” Practice Location

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