Individual
DR. COLLEEN R MCQUADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11834 COUNTY ROAD 101, SUITE 202, THE VILLAGES, FL 32162-9306
(352) 205-8027
(352) 430-1437
Mailing address
11834 COUNTY ROAD 101, SUITE 202, THE VILLAGES, FL 32162-9306
(352) 205-8027
(352) 430-1437
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME78429
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46831
BCBS PROVIDER NUMBER
FL
01
—
P00269173
RAILROAD RETIREMENT BOARD
—
Enumeration date
01/14/2006
Last updated
02/01/2008
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