Individual
JASON R QUIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1715 N WEST SHORE BLVD STE 920, TAMPA, FL 33607-3916
(561) 418-3262
(561) 526-8021
Mailing address
12100 SUMMERGATE CIR APT 101, FORT MYERS, FL 33913-8032
(789) 514-1914
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2291841
MA
163W00000X
Registered Nurse
RN95139213
CA
363L00000X
Nurse Practitioner
Primary
APRN11015460
FL
363L00000X
Nurse Practitioner
NP95007565
CA
Other
Enumeration date
09/22/2017
Last updated
06/28/2022
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