Provider Demographics
NPI:1740228907
Name:QUALITY PROFESSIONAL HEALTH CARE
Entity Type:Organization
Organization Name:QUALITY PROFESSIONAL HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORA
Authorized Official - Middle Name:
Authorized Official - Last Name:LLAURADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-630-3311
Mailing Address - Street 1:10300 SUNSET DR
Mailing Address - Street 2:SUITE 157
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3012
Mailing Address - Country:US
Mailing Address - Phone:305-630-3311
Mailing Address - Fax:305-630-3911
Practice Address - Street 1:10300 SUNSET DR
Practice Address - Street 2:SUITE 157
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3012
Practice Address - Country:US
Practice Address - Phone:305-630-3311
Practice Address - Fax:305-630-3911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108405Medicare Oscar/Certification