Provider Demographics
NPI:1396040010
Name:TOTAL WELLNESS OPTIONS AND QUALITY QUICK CARE, LLC
Entity Type:Organization
Organization Name:TOTAL WELLNESS OPTIONS AND QUALITY QUICK CARE, LLC
Other - Org Name:QUALITY QUICK CARE AND ALLERGY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:K
Authorized Official - Last Name:YOSHIDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-451-2724
Mailing Address - Street 1:8815 CONROY WINDERMERE RD
Mailing Address - Street 2:SUITE 249
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-3129
Mailing Address - Country:US
Mailing Address - Phone:407-451-2724
Mailing Address - Fax:
Practice Address - Street 1:8015 TURKEY LAKE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7383
Practice Address - Country:US
Practice Address - Phone:407-480-5353
Practice Address - Fax:407-480-5701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-12
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME55201207KA0200X, 261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Single Specialty