Individual
EMILIO DE QUESADA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12600 SW 120TH ST STE 101, MIAMI, FL 33186-9115
(305) 506-1930
(855) 226-6633
Mailing address
9725 NW 117TH AVE FL 2, MEDLEY, FL 33178-1212
(954) 432-0578
(954) 432-5060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME 82711
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108072700
—
FL
01
—
U4590Y
MEDICARE
FL
Enumeration date
09/07/2006
Last updated
10/02/2025
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