Organization
QUALITY MEDICAL CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBASH K THAREJA MD (PRESIDENT)
(321) 951-1010
Entity
Organization
Contact information
Practice address
675 S BABCOCK ST, MELBOURNE, FL 32901-1459
(321) 951-8695
(321) 956-8937
Mailing address
675 S BABCOCK ST, MELBOURNE, FL 32901-1459
(321) 951-1010
(321) 952-4038
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253423100
—
FL
Enumeration date
09/12/2005
Last updated
08/02/2016
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