| Quality Of Life Servicing Corp | |
|
4101 Ravenswood Rd Ste 205 Fort Lauderdale FL 33312-5301 | |
| (786) 953-6729 | |
| (786) 353-2349 |
| Full Name | Quality Of Life Servicing Corp |
|---|---|
| Speciality | Case Management |
| Location | 4101 Ravenswood Rd Ste 205, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Ariadna Gonzalez Bermudez (PRESIDENT AND EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7863047731 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quality Of Life Servicing Corp 4101 Ravenswood Rd Ste 205 Fort Lauderdale FL 33312-5301 Ph: (869) 536-7297 | Quality Of Life Servicing Corp 4101 Ravenswood Rd Ste 205 Fort Lauderdale FL 33312-5301 Ph: (786) 953-6729 |
| NPI Number | 1235697830 |
|---|---|
| Provider Enumeration Date | 03/04/2019 |
| Last Update Date | 08/05/2025 |
| Medicare PECOS PAC ID | 5597179978 |
|---|---|
| Medicare Enrollment ID | O20210126001658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235697830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
| Provider Name | Jorge Betancourt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982707998 PECOS PAC ID: 7012177702 Enrollment ID: I20120404000985 |
| Provider Name | Alina Barroso Lorenzo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255981569 PECOS PAC ID: 4880045335 Enrollment ID: I20240111000454 |
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