Individual
MS. MALLORY HOPE QUINTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
86 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 843-5270
(321) 843-5177
Mailing address
86 W UNDERWOOD ST, ORLANDO, FL 32806
(321) 843-5270
(321) 843-5177
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9296179
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9296179
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021998200
—
FL
Enumeration date
07/13/2017
Last updated
11/08/2017
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