NPIMap

Organization Active NPI

QSM-FL, Inc

  • Surgery Physician
  • Hollywood, FL
National Provider Identifier
1609318617
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
QSM-FL, INC
Practice address
3800 S Ocean Dr
209
Hollywood, FL 33019-2927
Phone
(305) 466-9988
Fax
(305) 466-9989
NPI assigned
Nov 8, 2016
Last updated
May 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Steven Magilen, MDNPI 1568428266
Title
Ceo
Phone
(305) 466-9988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Family Nurse Practitioner 363LF0000X NU
Wound Care Registered Nurse 163WW0000X NU
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

3800 S Ocean Dr
209
Hollywood, FL 33019-2927

Mailing address

3800 S Ocean Dr
209
Hollywood, FL 33019-2927
Phone (305) 466-9988

Other practice location 1

3800 S Ocean Dr
209
Hollywood, FL 33019-2927
Phone (305) 466-9988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170609001771 FL Part B Supplier - Clinic/Group Practice 0648548982 Receives reassigned benefits from 29 practitioners
Practice locations: Hollywood, FL

National Provider Directory

National Provider Directory

Locations

4470 E Bay Dr
Clearwater, FL 33764
Phone (727) 530-7100

19590 Old Cutler Rd
Cutler Bay, FL 33157
Phone (786) 466-3500

1615 Miami Rd
Ft Lauderdale, FL 33316
Phone (954) 523-5673

3387 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (820) 932-9257

304 S Citrus Ave
Ste 209
Inverness, FL 34452

1504 Seabreeze Ave
Ste 209
Jacksonville Beach, FL 32250

2501 N A St
Ste 209
Lake Worth, FL 33460

2000 Edgewood Ave
Ste 209
Leesburg, FL 34748

18940 Sunlake Blvd
Lutz, FL 33558
Phone (678) 533-6300

1420 Oak St
Ste 209
Melbourne, FL 32901

2021 SW 1st Ave
Ste 209
Ocala, FL 34471

2000 N Semoran Blvd
Ste 209
Orlando, FL 32807

170 N Kings Rd
Ste 209
Ormond Beach, FL 32174

1301 Kansas Ave
Ste 209
Saint Cloud, FL 34769

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1609318617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR",
            "address_2": "209",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192927",
            "telephone_number": "305-466-9988",
            "fax_number": "305-466-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR",
            "address_2": "209",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192927",
            "telephone_number": "305-466-9988",
            "fax_number": "305-466-9989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 S Ocean Dr",
            "address_2": "209",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330192927",
            "country_code": "US",
            "telephone_number": "305-466-9988",
            "fax_number": "305-466-9989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QSM-FL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "MAGILEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-466-9988",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.