Individual
DR. ELIAS RILLORAZA QUINTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4130 TAMIAMI TRL, SUITE 302, PORT CHARLOTTE, FL 33952-9207
(941) 206-0203
(941) 629-0503
Mailing address
4130 TAMIAMI TRL, SUITE 302, PORT CHARLOTTE, FL 33952-9207
(941) 206-0203
(941) 629-0503
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME55368
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01141919
—
NY
05
—
28034700
—
FL
Enumeration date
06/22/2006
Last updated
11/12/2013
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