Organization
QUANTUM HOSPITAL PATHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORTH DAVIS MD (PRESIDENT)
(850) 689-8100
Entity
Organization
Contact information
Practice address
151 E REDSTONE AVE, CRESTVIEW, FL 32539-5352
(850) 689-8100
(419) 866-5453
Mailing address
PO BOX 3093, BOCA RATON, FL 33431-0993
(954) 656-6430
(850) 689-8338
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
07/25/2012
Last updated
09/27/2023
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