Qualmed of South Dade, Inc.

Primary specialty

Legal MedicineTaxonomy code 173000000X

Legal business name

QUALMED OF SOUTH DADE, INC.

Practice address

27535 S Dixie Hwy
Naranja, FL 33032-8225

Phone

(305) 246-2221

Fax

(305) 269-8825

NPI assigned

Dec 23, 2005

Last updated

Jan 23, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Sandra Maria Palacio

Title

Administrative Assistant

Phone

(305) 398-0807

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1285611913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26085 S DIXIE HWY",
            "city": "NARANJA",
            "state": "FL",
            "postal_code": "330326613",
            "telephone_number": "305-246-2221",
            "fax_number": "305-269-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27535 S DIXIE HWY",
            "city": "NARANJA",
            "state": "FL",
            "postal_code": "330328225",
            "telephone_number": "305-246-2221",
            "fax_number": "305-269-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALMED OF SOUTH DADE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "PALACIO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "305-398-0807",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272061200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063744100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260520100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Naranja, FL
• Providers in Naranja, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.