| Quality Care Medicine, Llc | |
|
4407 6th St Sw Vero Beach FL 32968-4061 | |
| (772) 907-5935 | |
| (772) 217-2761 |
| Full Name | Quality Care Medicine, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4407 6th St Sw, Vero Beach, Florida |
| Authorized Official Name and Position | Tia Martezian (OFFICE MANAGER) |
| Authorized Official Contact | 7729075935 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Care Medicine, Llc 4407 6th St Sw Vero Beach FL 32968-4061 Ph: (772) 907-5935 | Quality Care Medicine, Llc 4407 6th St Sw Vero Beach FL 32968-4061 Ph: (772) 907-5935 |
| NPI Number | 1306127709 |
|---|---|
| Provider Enumeration Date | 08/30/2011 |
| Last Update Date | 04/21/2020 |
| Medicare PECOS PAC ID | 6800062647 |
|---|---|
| Medicare Enrollment ID | O20111229000276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306127709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 9290514 (Florida) | Primary |
| Provider Name | Wilhelm K Martezian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891905477 PECOS PAC ID: 9335223833 Enrollment ID: I20110217000696 |
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