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Organization

QUALIFIED HEALTH SOLUTION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICOLE M FIELDS DO (CHIEF MEDICAL OFFICER)
(305) 699-3204
Entity
Organization

Contact information

Practice address
179 SE 36TH AVE, HOMESTEAD, FL 33033-5949
(305) 699-3204
Mailing address
179 SE 36TH AVE, HOMESTEAD, FL 33033-5949
(305) 699-3204

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS11204
FL

Other

Enumeration date
07/07/2015
Last updated
07/07/2015
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