Individual
CARLINE QUANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1421 MALABAR RD NE STE 201, PALM BAY, FL 32907-2559
(321) 434-8420
(321) 434-8148
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-8420
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME135639
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118923300
—
FL
01
—
LZ299
MEDICARE
FL
Enumeration date
06/16/2006
Last updated
11/03/2023
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