Organization
QUICK CARE MED, LLC
Active
Parent organization
QUICK CARE MED LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
QUICK CARE MED LLC
Authorized official
JEANETTE SMITH (CREDENTIALING MANAGER)
(352) 634-8736
Entity
Organization
Contact information
Practice address
3956 S SUNCOAST BLVD, HOMOSASSA, FL 34448-2601
(352) 628-0911
(352) 503-9925
Mailing address
PO BOX 2066, LECANTO, FL 34460-2066
(352) 563-0931
(352) 563-0935
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013455100
—
FL
Enumeration date
07/02/2019
Last updated
06/24/2021
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