Individual
SANDRA QUINTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11616 LAKE UNDERHILL RD, SUITE 215, ORLANDO, FL 32825-4463
(407) 482-7788
(321) 235-8328
Mailing address
11616 LAKE UNDERHILL RD, SUITE 215, ORLANDO, FL 32825-4463
(407) 482-7788
(321) 235-8328
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME105350
FL
174400000X
Specialist
ME113836
FL
174400000X
Specialist
ME54751
FL
174400000X
Specialist
Primary
ME85171
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000962800
—
FL
01
—
AD890
MEDICARE
FL
Enumeration date
01/30/2014
Last updated
01/30/2014
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