Provider Demographics
NPI:1841393246
Name:QDI PARTNERS
Entity Type:Organization
Organization Name:QDI PARTNERS
Other - Org Name:QUORSAI OF BRANDON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PATIENT ACCOUNTS
Authorized Official - Prefix:MS
Authorized Official - First Name:JODI
Authorized Official - Middle Name:
Authorized Official - Last Name:GALBATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-577-5836
Mailing Address - Street 1:414 W ROBERTSON ST
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-5010
Mailing Address - Country:US
Mailing Address - Phone:813-657-6767
Mailing Address - Fax:813-676-0067
Practice Address - Street 1:414 W ROBERTSON ST
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5010
Practice Address - Country:US
Practice Address - Phone:813-657-6767
Practice Address - Fax:813-676-0067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC5694261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU2213Medicare ID - Type Unspecified