Organization
QUALMED OF SOUTH DADE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA MARIA PALACIO (ADMINISTRATIVE ASSISTANT)
(305) 398-0807
Entity
Organization
Contact information
Practice address
27535 S DIXIE HWY, NARANJA, FL 33032-8225
(305) 246-2221
(305) 269-8825
Mailing address
26085 S DIXIE HWY, NARANJA, FL 33032-6613
(305) 246-2221
(305) 269-8825
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063744100
—
FL
05
—
260520100
—
FL
05
—
272061200
—
FL
Enumeration date
12/23/2005
Last updated
01/23/2009
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