Organization
21 MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN ANTONIO QUINTANA M.D. (MD/OWNER)
(305) 751-0007
Entity
Organization
Contact information
Practice address
9526 NE 2ND AVE, SUITE 102, MIAMI SHORES, FL 33138-2750
(305) 751-0007
(305) 754-4947
Mailing address
9526 NE 2ND AVE, SUITE 102, MIAMI SHORES, FL 33138-2750
(305) 751-0007
(305) 754-4947
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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