Organization
PALM QUALITY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMATIDE CHARLES (CEO)
(321) 215-1131
Entity
Organization
Contact information
Practice address
4650 LIPSCOMB ST NE STE 28, PALM BAY, FL 32905-2997
(321) 290-9455
(321) 821-4596
Mailing address
4650 LIPSCOMB ST NE STE 28, PALM BAY, FL 32905-2997
(321) 215-1131
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
03/06/2024
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