# ELIAS R QUINTOS MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326480831
- **Authorized official:** DR. ELIAS R QUINTOS MD (PRESIDENT)
- **Authorized official phone:** (941) 206-0203

## Contact information

- **Practice address:** 4130 TAMIAMI TRL, SUITE 302, PORT CHARLOTTE, FL 33952-9207
- **Practice address phone:** (941) 206-0203
- **Practice address fax:** (941) 629-0503
- **Mailing address:** 4130 TAMIAMI TRL, SUITE 302, PORT CHARLOTTE, FL 33952-9207
- **Mailing address phone:** (941) 206-0203
- **Mailing address fax:** (941) 629-0503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | ME55368 | FL | Yes |

## Other

- **Enumeration date:** 07/25/2013
- **Last updated:** 07/25/2013