Provider Demographics
NPI:1356619423
Name:QUALITY MANAGED HEALTH CRAE, INC.
Entity type:Organization
Organization Name:QUALITY MANAGED HEALTH CRAE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:GENTILE
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:305-271-1652
Mailing Address - Street 1:7205 CORPORATE CENTER DR STE 404
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1230
Mailing Address - Country:US
Mailing Address - Phone:786-471-6108
Mailing Address - Fax:954-236-3254
Practice Address - Street 1:7205 CORPORATE CENTER DR STE 404
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-1230
Practice Address - Country:US
Practice Address - Phone:786-471-6108
Practice Address - Fax:954-236-3254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-05
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty