Individual
ROGER VIRGILIO QUIRANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
3015 PARENTAL HOME RD, JACKSONVILLE, FL 32216-5768
(904) 720-0387
(904) 724-8513
Mailing address
3015 PARENTAL HOME RD, JACKSONVILLE, FL 32216-5768
(904) 720-0387
(904) 724-8513
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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