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Organization
QUANTUM GENESIS INC.
Active
Organization
QUANTUM GENESIS INC.
Active
Other names
West Coast Family Medical Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L HICKS D.O. (PHYSICIAN/CEO)
(727) 787-3911
Entity
Organization
Contact information
Practice address
3165 N MCMULLEN BOOTH RD, SUITE H, CLEARWATER, FL 33761-2032
(727) 787-3911
(727) 786-2272
Mailing address
3165 N MCMULLEN BOOTH RD, SUITE H, CLEARWATER, FL 33761-2032
(727) 787-3911
(727) 786-2272
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS4796
FL
Other
Enumeration date
07/01/2005
Last updated
10/13/2016
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