Individual
DR. THIAGO QUEIROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7031 SW 62ND AVE, SOUTH MIAMI, FL 33143-4701
(305) 284-7761
(305) 284-7787
Mailing address
1776 WOODSTEAD CT, STE 208, THE WOODLANDS, TX 77380-1480
(877) 749-7428
(512) 628-3314
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
OS14119
FL
208D00000X
General Practice Physician
Primary
OS14119
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/11/2015
Last updated
03/10/2021
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