Individual
CALEB QUICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 N WICKHAM RD, MELBOURNE, FL 32935-8625
(321) 752-1200
Mailing address
961 BARTLETT LN, ROCKLEDGE, FL 32955-4003
(321) 505-5057
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
9353260
FL
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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