Organization
QUALITY MEDICAL PERSONNEL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS E PONCE RESP. THERAPIST (PRESIDENT)
(305) 836-7927
Entity
Organization
Contact information
Practice address
21110 BISCAYNE BLVD, SUITE #405, AVENTURA, FL 33180-1227
(305) 836-7927
(305) 836-7928
Mailing address
PO BOX 660066, MIAMI SPRINGS, FL 33266-0066
(305) 836-7927
(305) 836-7928
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
HCC4931
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V0989
BLUE CROSS BLUE SHIEL
FL
Enumeration date
10/17/2008
Last updated
04/08/2010
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