Provider Demographics
NPI:1982473401
Name:QUASAR FAMILY MEDICINE NORTH CAROLINA PLLC
Entity Type:Organization
Organization Name:QUASAR FAMILY MEDICINE NORTH CAROLINA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:FEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-544-0647
Mailing Address - Street 1:4850 TAMIAMI TRL N UNIT 301
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-3034
Mailing Address - Country:US
Mailing Address - Phone:239-308-4746
Mailing Address - Fax:
Practice Address - Street 1:3282 CHARLES BLVD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-8875
Practice Address - Country:US
Practice Address - Phone:239-308-4746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty