Individual
MR. DANIEL P QUEZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HOMEMAKER
Contact information
Practice address
2550 SE 173RD ST, SUMMERFIELD, FL 34491-6073
(352) 347-2361
Mailing address
2550 SE 173RD ST, SUMMERFIELD, FL 34491-6073
(352) 347-2361
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
NONE
FL
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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