Individual
LOURDES MARIA QUINONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
9528 CITRUS GLEN PL, TAMPA, FL 33618-4018
(813) 344-0960
(813) 344-0965
Mailing address
9528 CITRUS GLEN PL, TAMPA, FL 33618-4018
(813) 344-0960
(813) 344-0965
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 17136
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
887105100
—
FL
05
—
887105196
—
FL
Enumeration date
01/02/2007
Last updated
01/27/2017
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