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NPI Code Detail

MEDICARE: QUANTUM BUSINESS DEVELOPMENT,INC

MEDICARE: QUANTUM BUSINESS DEVELOPMENT,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
1207Q00000XFamily Medicine Physician
2207QA0505XAdult Medicine Physician
3213ES0103XFoot & Ankle Surgery Podiatrist
4213E00000XPodiatrist

General Provider Information

NPI Number : 1720344419
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUANTUM BUSINESS DEVELOPMENT,INC
Provider Business Mailing Address
First Line : 3750 W 16TH AVE
Second Line : 108
City : HIALEAH
State : FL
Zip : 33012-4654
Country : US
Telephone Number : 305-512-2887
Fax Number : 305-512-9182
Provider Business Practice Location Address
First Line : 3750 W 16TH AVE
Second Line : 108
City : HIALEAH
State : FL
Zip : 33012-4654
Country : US
Telephone Number : 305-512-2887
Fax Number : 305-512-9182
Authorized Official
Title or Position : PRESIDENT
Name : MR. ADEILSON JORGE
Credential :
Telephone Number : 305-512-2887
Provider Enumeration Date : 04/06/2012
Last Update Date : 04/06/2012

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Directions to “QUANTUM BUSINESS DEVELOPMENT,INC ” Practice Location

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