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QUANTUM GENESIS INC. NPI 1285631416


NPI Information

NPI: 1285631416
Provider Name: QUANTUM GENESIS INC.

Doing Business As: WEST COAST FAMILY MEDICAL CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D0966030

Address:
3165 N MCMULLEN BOOTH RD
SUITE H
CLEARWATER, FL
ZIP 33761
Phone: (727) 787-3911
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QUANTUM GENESIS INC. is a family medicine in Clearwater, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. QUANTUM GENESIS INC. NPI is 1285631416. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As West Coast Family Medical Care.

The provider's business location address is:

3165 N MCMULLEN BOOTH RD
SUITE H
CLEARWATER, FL
ZIP 33761-032
Phone: (727) 787-3911
Fax: (727) 786-2272

The provider's authorized official is David L Hicks .
The authorized official title is Physician/ceo and has the following contact phone number (727) 787-3911.

The CLIA number assigned to this NPI record is 10D0966030 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2005 and was last updated on 10/13/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineOS4796FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K6692MEDICARE PINFLORIDA
2D60708MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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