Provider Demographics
NPI:1720794019
Name:QUEST HEALTH REMOTE CARE LLC
Entity Type:Organization
Organization Name:QUEST HEALTH REMOTE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:VASTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-778-7147
Mailing Address - Street 1:7351 WILES RD STE 104
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-4106
Mailing Address - Country:US
Mailing Address - Phone:754-778-7147
Mailing Address - Fax:
Practice Address - Street 1:7351 WILES RD STE 104
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-4106
Practice Address - Country:US
Practice Address - Phone:754-778-7147
Practice Address - Fax:754-778-7269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty