Individual
DR. JESSICA QUEZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8900 SE 165TH MULBERRY LN, THE VILLAGES, FL 32162-5884
(352) 674-5000
Mailing address
2915 ETOWAH PARK BLVD, TAVARES, FL 32778-2002
(201) 600-3175
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ACN402
FL
208D00000X
General Practice Physician
Primary
17180
PR
Other
Enumeration date
07/08/2008
Last updated
04/05/2015
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