Provider Demographics
NPI:1720446487
Name:ACC-Q-DATA NETWORK LLC
Entity Type:Organization
Organization Name:ACC-Q-DATA NETWORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHEELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-315-5037
Mailing Address - Street 1:321 NORTH LAKE BLVD STE 212
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-4616
Mailing Address - Country:US
Mailing Address - Phone:561-612-7021
Mailing Address - Fax:561-658-0331
Practice Address - Street 1:321 NORTH LAKE BLVD STE 212
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-4616
Practice Address - Country:US
Practice Address - Phone:561-612-7021
Practice Address - Fax:561-658-0331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-09
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No251E00000XAgenciesHome Health