Provider Demographics
NPI:1790749380
Name:QUALITY HEALTH CARE INC OF FLORIDA
Entity Type:Organization
Organization Name:QUALITY HEALTH CARE INC OF FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HARISH
Authorized Official - Middle Name:L
Authorized Official - Last Name:SADHWANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:772-581-2373
Mailing Address - Street 1:12920 US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:SEBASTIAN
Mailing Address - State:FL
Mailing Address - Zip Code:32958-3772
Mailing Address - Country:US
Mailing Address - Phone:772-581-2373
Mailing Address - Fax:772-581-2374
Practice Address - Street 1:12920 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:SEBASTIAN
Practice Address - State:FL
Practice Address - Zip Code:32958-3772
Practice Address - Country:US
Practice Address - Phone:772-581-2373
Practice Address - Fax:772-581-2374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-12
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK0925Medicare ID - Type Unspecified