Quantum Genesis Inc.

NPI 1285631416 - Family Medicine - 207Q00000X

NPI Details
NPI 1285631416
Enumeration Date 07/01/2005
Last Updated 10/17/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name DAVID L DAVID
Position PHYSICIAN/CEO
Phone (727) 787-3911
Fax (727) 786-2272
Practice Location
3165 N MCMULLEN BOOTH RD
STE H
CLEARWATER FL, 33761-2032, US
Phone (727) 787-3911
Fax (727) 786-2272
Business Location
3165 N MCMULLEN BOOTH RD
SUITE D-2
CLEARWATER FL, 33761-2032, US
Phone (727) 787-3911
Fax (727) 786-2226
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number OS4796
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According to our database, Quantum Genesis Inc. NPI is 1285631416, taxonomy code is 207Q00000X and license number is OS4796, license state is located at Florida. Quantum Genesis Inc. physically located at 3165 N Mcmullen Booth Rd, Clearwater FL, 33761-2032. NPI Number 1033115704 has the healthcare provider type.

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1285631416 NPI number is provided on an as is basis without warranty of any kind. 1285631416 is maintained by the National Plan & Provider Enumeration System. The contents of Quantum Genesis Inc. are for informational purposes only.