MEDICARE: QUALITY PRIMARY CARE 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
1	207R00000X	Internal Medicine Physician		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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386042703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUALITY PRIMARY CARE PLLC

Provider Business Mailing Address
First Line	:	434 MARY ESTHER CUT OFF NW
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32548-4023
Country	:	US
Telephone Number	:	850-466-3399
Fax Number	:	850-226-6712

Provider Business Practice Location Address
First Line	:	434 MARY ESTHER CUT OFF NW
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32548-4023
Country	:	US
Telephone Number	:	850-466-3399
Fax Number	:	850-226-6712

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. NARENDRA KUMAR GOWDA
Credential	:	M.D.
Telephone Number	:	850-466-3399

Provider Enumeration Date	:	12/17/2014
Last Update Date	:	04/16/2026

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Directions to “QUALITY PRIMARY CARE PLLC ” Practice Location

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