# STATMED QUICK QUALITYCLINC AT NORTH PINELLASLLC

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

## Provider details

- **NPI number:** 1649502170
- **Authorized official:** DR. BRYAN WEBSTER COOK M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (727) 726-1962

## Contact information

- **Practice address:** 2560 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761-4182
- **Practice address phone:** (727) 726-1962
- **Practice address fax:** (727) 726-1606
- **Mailing address:** 2560 N MCMULLEN BOOTH RD, CLEARWATER, FL 33761-4182
- **Mailing address phone:** (727) 726-1962
- **Mailing address fax:** (727) 726-1606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 09190534 | FL | Yes |

## Other

- **Enumeration date:** 02/09/2010
- **Last updated:** 02/09/2010