| Quick Care Med, Llc | |
|
517 W Noble Ave Williston FL 32696 | |
| (352) 528-9355 | |
| (352) 528-7427 |
| Full Name | Quick Care Med, Llc |
|---|---|
| Speciality | General Practice |
| Location | 517 W Noble Ave, Williston, Florida |
| Authorized Official Name and Position | Jeanette Smith (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3526348736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quick Care Med, Llc Po Box 2066 Lecanto FL 34460-2066 Ph: (352) 563-0931 | Quick Care Med, Llc 517 W Noble Ave Williston FL 32696 Ph: (352) 528-9355 |
| NPI Number | 1962060939 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 06/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962060939 | NPI | - | NPPES |
| 003672406 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | (* (Not Available)) | Secondary |
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