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Contact Information

QUICK CARE MED, LLC
517 W NOBLE AVE
WILLISTON, FL32696
 Phone: 352-528-9355
 Fax: 352-528-7427
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for QUICK CARE MED, LLC

NPI # 1962060939
LBN Legal business name QUICK CARE MED, LLC
Authorized official JEANETTE SMITH - (CREDENTIALING MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/04/2019
Last updated 06/24/2021 - About 5 years ago
Identifiers
FL Medicaid 003672406
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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