# QUANTUMCARE MEDICAL, SPORTS & INJURY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Quantumcare Sports & Injury Centers, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235515990
- **Authorized official:** ALEX C. ROA-OLMO DC (MANAGING PARTNER)
- **Authorized official phone:** (321) 234-8900

## Contact information

- **Practice address:** 1151 BLACKWOOD AVE. STE.170, OCOEE, FL 34761
- **Practice address phone:** (321) 234-8900
- **Practice address fax:** (407) 930-3544
- **Mailing address:** 1151 BLACKWOOD AVE. STE.170, OCOEE, FL 34761
- **Mailing address phone:** (321) 234-8900
- **Mailing address fax:** (407) 930-3544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME102920 | FL | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2015
- **Last updated:** 04/18/2019