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NPI Code Detail

MEDICARE: QUANTUM VITALITY CENTRES, INC.

MEDICARE: QUANTUM VITALITY CENTRES, 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
2111N00000XChiropractorCH6989FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
177316OTHERFLBLUE CROSS & BLUE SHIELD

General Provider Information

NPI Number : 1407889793
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUANTUM VITALITY CENTRES, INC.
Provider Business Mailing Address
First Line : 2905 TRAVERSE TRL
Second Line :
City : THE VILLAGES
State : FL
Zip : 32163-2017
Country : US
Telephone Number : 352-430-3399
Fax Number : 888-241-0433
Provider Business Practice Location Address
First Line : 2905 TRAVERSE TRL
Second Line :
City : THE VILLAGES
State : FL
Zip : 32163-2017
Country : US
Telephone Number : 352-430-3399
Fax Number : 888-241-0433
Authorized Official
Title or Position : OWNER
Name : PETER JACOB SZAKACS
Credential : DC
Telephone Number : 813-312-3526
Provider Enumeration Date : 07/09/2006
Last Update Date : 02/01/2017

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Directions to “QUANTUM VITALITY CENTRES, INC. ” Practice Location

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