Individual
CRAIG DAVID QUEZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2521 SAN DOMINGO ST, CORAL GABLES, FL 33134-5560
(757) 750-5458
Mailing address
2521 SAN DOMINGO ST, CORAL GABLES, FL 33134-5560
(757) 750-5458
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.PA.61637735
WA
363AM0700X
Medical Physician Assistant
9118229
FL
Other
Enumeration date
12/04/2023
Last updated
05/15/2026
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