Provider Demographics
NPI:1114021839
Name:QUICK QUALITY CARE OF FLORIDA LLC
Entity Type:Organization
Organization Name:QUICK QUALITY CARE OF FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:F
Authorized Official - Last Name:KROUSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-421-9295
Mailing Address - Street 1:458 W. HILLSBORO BLVD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441
Mailing Address - Country:US
Mailing Address - Phone:954-421-9295
Mailing Address - Fax:954-421-9588
Practice Address - Street 1:458 W. HILLSBORO BLVD
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441
Practice Address - Country:US
Practice Address - Phone:954-421-9295
Practice Address - Fax:954-421-9588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK8801Medicare ID - Type Unspecified