Individual
ANTONIO JORGE QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2620 PIERCE ST, HOLLYWOOD, FL 33020-3827
(786) 803-9360
Mailing address
2213 NW 2ND AVE, CAPE CORAL, FL 33993-4139
(786) 803-9360
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q535010904450
DL
FL
Enumeration date
05/10/2021
Last updated
11/03/2023
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