# QSM-KY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114539202
- **Authorized official:** STEVEN MAGILEN MD (CEO/PRESIDENT)
- **Authorized official phone:** (305) 466-9988

## Contact information

- **Practice address:** 3800 S OCEAN DR, STE 209, HOLLYWOOD, FL 33019-2915
- **Practice address phone:** (305) 466-9988
- **Mailing address:** 3800 S OCEAN DR, STE 209, HOLLYWOOD, FL 33019-2915
- **Mailing address phone:** (305) 466-9988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 208600000X | Surgery Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/19/2020
- **Last updated:** 08/19/2020