Provider Demographics
NPI:1952353583
Name:QUICK MEDICAL SERVICE INC
Entity Type:Organization
Organization Name:QUICK MEDICAL SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:IVONNE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BONET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-882-0985
Mailing Address - Street 1:2760 PALM AVE
Mailing Address - Street 2:SUITE102
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-1778
Mailing Address - Country:US
Mailing Address - Phone:305-882-0985
Mailing Address - Fax:305-882-0987
Practice Address - Street 1:2760 PALM AVE
Practice Address - Street 2:SUITE102
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-1778
Practice Address - Country:US
Practice Address - Phone:305-882-0985
Practice Address - Fax:305-882-0987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC6993261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4811Medicare ID - Type UnspecifiedGROUP PROVIDER