Organization
ELIAS R QUINTOS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIAS R QUINTOS MD (PRESIDENT)
(941) 206-0203
Entity
Organization
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
—
280347000
—
FL
Enumeration date
07/25/2013
Last updated
07/25/2013
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