# QUICK CARE MED, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** QUICK CARE MED LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679135305
- **Legal business name:** QUICK CARE MED LLC
- **Authorized official:** JEANETTE SMITH (CREDENTIALING MANAGER)
- **Authorized official phone:** (352) 634-8736

## Contact information

- **Practice address:** 3956 S SUNCOAST BLVD, HOMOSASSA, FL 34448-2601
- **Practice address phone:** (352) 628-0911
- **Practice address fax:** (352) 503-9925
- **Mailing address:** PO BOX 2066, LECANTO, FL 34460-2066
- **Mailing address phone:** (352) 563-0931
- **Mailing address fax:** (352) 563-0935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |
| 332900000X | Non-Pharmacy Dispensing Site | — | — | — |

## Other

- **Enumeration date:** 07/02/2019
- **Last updated:** 06/24/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 013455100 | — | FL |