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NPI Code Detail

MEDICARE: PHYSICIANS FOR QUALITY HEALTHCARE, INC.

MEDICARE: PHYSICIANS FOR QUALITY HEALTHCARE, 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
1261QM1300XMulti-Specialty Clinic/Center10413FL
2261QP2000XPhysical Therapy Clinic/Center
3332B00000XDurable Medical Equipment & Medical Supplies
4208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1528353554
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICIANS FOR QUALITY HEALTHCARE, INC.
Provider Business Mailing Address
First Line : 6150 DIAMOND CENTRE CT
Second Line : BLDG 100
City : FORT MYERS
State : FL
Zip : 33912
Country : US
Telephone Number : 239-768-6396
Fax Number :
Provider Business Practice Location Address
First Line : 6150 DIAMOND CENTRE CT
Second Line : BUILDING 100
City : FORT MYERS
State : FL
Zip : 33912-4368
Country : US
Telephone Number : 239-768-6396
Fax Number : 239-204-3000
Authorized Official
Title or Position : CEO
Name : GEORGE GHANEM
Credential :
Telephone Number : 239-768-6396
Provider Enumeration Date : 06/17/2011
Last Update Date : 01/25/2023

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Directions to “PHYSICIANS FOR QUALITY HEALTHCARE, INC. ” Practice Location

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