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Organization

IQ BOARD CERTIFIED SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. IDELFONSO QUINTERO MD (PRESIDENT)
(305) 510-1237
Entity
Organization

Contact information

Practice address
12695 SW 105TH AVE, MIAMI, FL 33176-4707
(305) 510-1237
Mailing address
12695 SW 105TH AVE, MIAMI, FL 33176-4707
(305) 510-1237

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
10/25/2023
Last updated
10/25/2023
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