Individual
TRAVIS EVAN QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8050 SPYGLASS HILL RD, VIERA, FL 32940-7983
(201) 654-6397
Mailing address
PO BOX 22249, NEW YORK, NY 10087-0001
(016) 546-3972
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
148903
FL
390200000X
Student in an Organized Health Care Education/Training Program
MT212681
PA
Other
Enumeration date
05/01/2017
Last updated
06/16/2022
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