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NPI Provider: 1285631416
Contact Name: Hicks L David
Position: Physician/CEO
Phone: (727) 787-3911
Quantum Genesis Inc. Information:
Quantum Genesis Inc. organization have npi 1285631416, taxonomy code is 207Q00000X with license number is OS4796 in . This Business address located in 3165 N McMullen Booth Rd, Clearwater, FL 33761 Florida. Get directions of Quantum Genesis Inc..
Practice Location
Address: 3165 N McMullen Booth Rd, Clearwater, FL 33761
Phone: (727) 787-3911
Business Location
Address: 3165 N McMullen Booth Rd, Clearwater, FL 33761
Phone: (727) 787-3911
Fax: (727) 786-2226
Taxonomy
Taxonomy Code: 207Q00000X
License Number: OS4796
License Number of State: FL
Primary Taxonomy Switch: Y
Enumeration Date: 7/1/2005
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