Individual
EDISON QUINONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 BELFORT RD, JACKSONVILLE, FL 32216-1431
(904) 296-3700
Mailing address
6650 CORPORATE CENTER PKWY, APT. 209, JACKSONVILLE, FL 32216-0988
(904) 514-8439
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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