Quantum Genesis Inc.
NPI #1285631416 in Clearwater, Florida
Provider Information
- NPI Number
- 1285631416
- Entity Type
- Organization
- Organization Name
- Quantum Genesis Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 1, 2005
- Last Updated
- Oct 13, 2016
Practice Location
- Address
- 3165 N MCMULLEN BOOTH RD
- Address 2
- SUITE H
- City
- Clearwater
- State
- Florida
- ZIP Code
- 33761-2032
- Phone
- (727) 787-3911
Authorized Official
- Name
- DR. DAVID L HICKS, D.O.
- Title
- PHYSICIAN/CEO
- Phone
- (727) 787-3911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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