| NPI | 1235515990 |
|---|---|
| Former Legal Business Name | QUANTUMCARE SPORTS & INJURY CENTERS, LLC |
| Entity Type | Organization |
| Authorized Contact | ALEX C. ROA-OLMO Managing Partner 321-234-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME102920) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2019-04-18 |