Organization
NOVA HEALTH INNOVATION PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE A QUEZADA (DIRECTOR OF NETWORK DEVELOPMENT)
(407) 588-7835
Entity
Organization
Contact information
Practice address
100 E PINE ST STE 110, ORLANDO, FL 32801-2759
(407) 588-7835
Mailing address
100 E PINE ST STE 110, ORLANDO, FL 32801-2759
(407) 588-7835
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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