Individual
JUAN CARLOS QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4972 TOWN CENTER PKWY # 301, JACKSONVILLE, FL 32246
(904) 642-6100
(904) 642-5154
Mailing address
900 S PINE ISLAND RD, SUITE 900, PLANTATION, FL 33324-3920
(904) 642-6100
(904) 642-5154
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME45899
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061614100
—
FL
Enumeration date
07/12/2006
Last updated
07/16/2018
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