Provider Demographics
NPI:1285964734
Name:QUALITY SUPPORT SERVICES & ASSOCIATES INC.
Entity type:Organization
Organization Name:QUALITY SUPPORT SERVICES & ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-216-6334
Mailing Address - Street 1:35 NE 159TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33162-4212
Mailing Address - Country:US
Mailing Address - Phone:305-216-6334
Mailing Address - Fax:305-688-1414
Practice Address - Street 1:35 NE159 STREET
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33162
Practice Address - Country:US
Practice Address - Phone:305-216-6334
Practice Address - Fax:305-216-6334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-06
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL684612296251S00000X
FL684612298251S00000X
FL229666251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL684612296Medicaid
FL684612298Medicaid
FL002877100Medicaid