Individual
JORGE E QUINZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18350 NW 2AVE, MIAMI, GARDENS,FL, FL 33169
(305) 756-9947
Mailing address
10740 SW 139TH AVE, MIAMI, FL 33186-3173
(305) 773-5977
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10810
FL
Other
Enumeration date
05/27/2018
Last updated
05/27/2018
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