Organization
PIC USA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY QUINN (OWNER)
(916) 855-1245
Entity
Organization
Contact information
Practice address
100 BLUEGRASS COMMONS BLVD, SUITE 2200, HENDERSONVILLE, TN 37075
(916) 855-1245
Mailing address
18520 NW 67TH AVE, HIALEAH, FL 33015-3302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
07/30/2024
Last updated
04/10/2025
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