Individual
MR. OTAKAR QUADRAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 N CLYDE MORRIS BLVD, SUITE 320, DAYTONA BEACH, FL 32114-2781
(386) 255-5331
(386) 254-8945
Mailing address
311 N CLYDE MORRIS BLVD, SUITE 320, DAYTONA BEACH, FL 32114-2781
(386) 255-5331
(386) 254-8945
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
ME0073016
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251962300
—
FL
Enumeration date
05/26/2006
Last updated
03/13/2013
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