Organization
JUAN C QUEROL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN C QUEROL M.D (MDPA)
(305) 698-0452
Entity
Organization
Contact information
Practice address
5801 NW 151ST ST, SUITE 306, MIAMI LAKES, FL 33014-2476
(305) 698-0452
(305) 698-0476
Mailing address
PO BOX 172286, HIALEAH, FL 33017-2286
(305) 698-0452
(305) 698-0476
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME68841
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25031400
—
FL
Enumeration date
03/19/2007
Last updated
03/18/2010
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