Organization
US COAST GUARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD QUINTANA (HEALTH SERVICES TECHNICIAN)
(305) 535-4350
Entity
Organization
Contact information
Practice address
100 MACARTHUR CSWY, MIAMI BEACH, FL 33139-5101
(305) 535-4350
Mailing address
100 MACARTHUR CSWY, MIAMI BEACH, FL 33139-5101
(305) 535-4350
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
Q535-740-86-208-0
FL
Other
Enumeration date
01/09/2007
Last updated
08/22/2020
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