Organization
QUALITY PATHOLOGY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELINO ALVAREZ MD (PRESIDENT)
(954) 717-0299
Entity
Organization
Contact information
Practice address
5361 NW 33 AVENUE, FORT LAUDERDALE, FL 33309
(954) 717-0299
Mailing address
PO BOX 63069, N CHARLESTON, SC 29406
(305) 229-4311
(305) 229-4388
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277571900
—
FL
01
—
99366
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/04/2006
Last updated
01/29/2010
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