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Organization
QUIK CLINIC MEDICAL CENTER
Active
Organization
QUIK CLINIC MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA FREEMAN (PRESIDENT)
(954) 530-9591
Entity
Organization
Contact information
Practice address
4055 N ANDREWS AVE, FT LAUDERDALE, FL 33309-5269
(954) 530-9591
(954) 530-9597
Mailing address
PO BOX 14303, FT LAUDERDALE, FL 33302-4303
(954) 530-9591
(954) 530-9597
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME81857
FL
207V00000X
Obstetrics & Gynecology Physician
OS11490
FL
363LF0000X
Family Nurse Practitioner
2904542
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002594900
—
FL
01
—
DP610B
MEDICARE
FL
Enumeration date
02/23/2010
Last updated
05/07/2019
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