Provider Demographics
NPI:1609104439
Name:QUALITY CARE PL
Entity Type:Organization
Organization Name:QUALITY CARE PL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ORLOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-548-7160
Mailing Address - Street 1:678 WASHINGTON ST
Mailing Address - Street 2:APT.#515
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01901-1630
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3800 S OCEAN DR STE G3
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33019-2906
Practice Address - Country:US
Practice Address - Phone:617-548-7160
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-07
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL94460261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center