Quik Clinic Medical Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME81857 Issued in FL

Legal business name

QUIK CLINIC MEDICAL CENTER

Practice address

4055 N Andrews Ave
Ft Lauderdale, FL 33309-5269

Phone

(954) 530-9591

Fax

(954) 530-9597

NPI assigned

Feb 23, 2010

Organization subpart

No

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

Authorized official

Name

Maria FreemanNPI 1891245239

Title

President

Phone

(954) 530-9591

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Maria Freeman

  • Case Manager/Care Coordinator
  • Oakland Park, FL
  • NPI 1891245239
  NPD Authorized official
• Teresa A Jackson, ARNP

  • Family Nurse Practitioner
  • Miami Gardens, FL
  • NPI 1528160181
  NPD

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1922320662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14303",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333024303",
            "telephone_number": "954-530-9591",
            "fax_number": "954-530-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 N ANDREWS AVE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333095269",
            "telephone_number": "954-530-9591",
            "fax_number": "954-530-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUIK CLINIC MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-530-9591"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME81857",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "OS11490",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "2904542",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "DP610B",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002594900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher L Queen, D.O.
• Thiago Queiroz, PA-C
• Robert E Quesada, D.M.D.
• Evelyn Quevedo-Enriquez, NP
• Jennifer Quezada
• Maria Quiles
• Stephanie Quinones
• Lisa Baron Quinonez, RPH
• Alejandro Quintana
• Ovy Quintanal, DDS, MDS

• Internal Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.