Provider Demographics
NPI:1306127709
Name:QUALITY CARE MEDICINE, LLC
Entity type:Organization
Organization Name:QUALITY CARE MEDICINE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTEZIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-907-5935
Mailing Address - Street 1:1725 POINTE WEST WAY
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32966-2448
Mailing Address - Country:US
Mailing Address - Phone:772-907-5935
Mailing Address - Fax:772-408-9304
Practice Address - Street 1:1725 POINTE WEST WAY
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32966-2448
Practice Address - Country:US
Practice Address - Phone:772-907-5935
Practice Address - Fax:772-408-9304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-30
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363LA2200X
FL9290514314000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility