| Quantumcare Medical, Sports & Injury Llc | |
|
1151 Blackwood Ave. Ste.170 Ocoee FL 34761 | |
| (321) 234-8900 | |
| (407) 930-3544 |
| Full Name | Quantumcare Medical, Sports & Injury Llc |
|---|---|
| Speciality | General Practice |
| Location | 1151 Blackwood Ave. Ste.170, Ocoee, Florida |
| Authorized Official Name and Position | Alex C. Roa-olmo (MANAGING PARTNER) |
| Authorized Official Contact | 3212348900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quantumcare Medical, Sports & Injury Llc 1151 Blackwood Ave. Ste.170 Ocoee FL 34761 Ph: (321) 234-8900 | Quantumcare Medical, Sports & Injury Llc 1151 Blackwood Ave. Ste.170 Ocoee FL 34761 Ph: (321) 234-8900 |
| NPI Number | 1235515990 |
|---|---|
| Provider Enumeration Date | 08/05/2015 |
| Last Update Date | 04/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235515990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME102920 (Florida) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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