MEDICARE: QPI HEALTHCARE SERVICES LLC

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

General Provider Information

NPI Number	:	1356971840
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QPI HEALTHCARE SERVICES LLC

Provider Business Mailing Address
First Line	:	375 E CENTRAL AVE STE 377
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33880-3047
Country	:	US
Telephone Number	:	772-828-2303
Fax Number	:

Provider Business Practice Location Address
First Line	:	375 E CENTRAL AVE STE 377
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33880-3047
Country	:	US
Telephone Number	:	772-828-2303
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	PAM SEYMOUR
Credential	:
Telephone Number	:	772-828-2303

Provider Enumeration Date	:	01/23/2020
Last Update Date	:	11/03/2023

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