# QUANTUM HOSPITAL PATHOLOGY, LLC

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

## Provider details

- **NPI number:** 1679829816
- **Authorized official:** NORTH DAVIS MD (PRESIDENT)
- **Authorized official phone:** (850) 689-8100

## Contact information

- **Practice address:** 151 E REDSTONE AVE, CRESTVIEW, FL 32539-5352
- **Practice address phone:** (850) 689-8100
- **Practice address fax:** (419) 866-5453
- **Mailing address:** PO BOX 3093, BOCA RATON, FL 33431-0993
- **Mailing address phone:** (954) 656-6430
- **Mailing address fax:** (850) 689-8338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/25/2012
- **Last updated:** 09/27/2023