Individual
JORGE M QUINONEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2232 GRAND AVE, FORT MYERS, FL 33901-3717
(239) 344-2341
(239) 278-3203
Mailing address
PO BOX 919771, ORLANDO, FL 32891-9771
(239) 278-3600
(239) 226-4650
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME87619
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16297Y
MEDICARE
FL
05
—
263548800
—
FL
Enumeration date
11/02/2005
Last updated
09/30/2020
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