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Individual

MR. MICHAEL GEORGE QUIRK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1511 TRUMAN AVE, KEY WEST, FL 33040-7252
(305) 294-4004
(305) 254-6043
Mailing address
22872 JOHN SILVER LN, CUDJOE KEY, FL 33042-4244
(305) 744-0139

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 3349
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA3349
STATE LICENSE
FL
Enumeration date
09/01/2006
Last updated
02/12/2014
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