Individual
ANY ESTER QUEZADA DOMAZET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
775 W GRANADA BLVD STE 102, ORMOND BEACH, FL 32174-5109
(386) 672-4615
(386) 672-4624
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(727) 322-3439
(800) 928-7449
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
025158
PR
208D00000X
General Practice Physician
Primary
17-489I
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q231-005-86-763-0
DRIVER LICENSE
FL
Enumeration date
01/15/2022
Last updated
07/29/2026
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