QUALITY NEUROLOGY LLC (NPI# 1750867115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750867115 |
| Entity Type | Organization |
| Organization Name | QUALITY NEUROLOGY LLC |
| Other Organization Name | QUALITY NEUROLOGY |
| Practice Address |
2970 W Us Highway 90 Ste 110 Lake City FL 32055-4703 |
| Mailing Address |
Po Box 141448 Gainesville FL 32614-1448 |
| Practice Telephone | 3524784700 |
| Practice Fax Number | 3524784203 |
| Mailing Telephone | 3524784700 |
| Mailing Fax Number | 3524784203 |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |
| Authorized Official Name | LUCAS JURGEN BEEREPOOT (OWNER) |
| Authorized Official Telephone | 3524784700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
ME111124 | FL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Quality Neurology | Doing Business As Name - Organization |
| Street Address |
2970 W US HIGHWAY 90 STE 110 |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32055-4703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114439510 | Melissa Fay Peters | Nurse Practitioner | 5085 West Us Highway 90, Lake City, FL 32055 | 2017-10-26 |
| 1851801765 | Stephanie Jo Nogle | Occupational Therapist | Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 | 2017-10-05 |
| 1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
| 1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
| 1487183745 | Joshua Allore | Dentist | 2970 W Us Highway 90., Lake City, FL 32055 | 2017-06-08 |
| 1497298418 | Careing Hands | Preferred Provider Organization | 1471nw Queen Rd, Lakecity, FL 32055 | 2016-11-22 |
| 1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
| 1164809141 | Latasha Harten-jones | Licensed Practical Nurse | 443 Ne Sims Dr, Lake City, FL 32055 | 2015-04-29 |
| 1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
| 1124439351 | Tynette Jordan | Counselor | 708 N.w Wilson St., Lake City, FL 32055 | 2014-05-09 |
| Find all providers in zip 32055 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1598154890 | Charles Varghese M D | Clinic/Center | 782 Sw Sisters Welcome Rd, Lake City, FL 32025-0442 | 2015-01-10 |
| 1992982722 | Raul B Zelaya Md Pa | Clinic/Center | 1188 Sw Main Blvd, Lake City, FL 32025-6684 | 2008-01-23 |
| 1215155080 | Stewart Memorial Community Hospital | Clinic/Center | 1351 W Main St, Lake City, IA 51449-1585 | 2007-04-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.