Individual
JIAN XIN QIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8960 COLONIAL CENTER DR, SUITE 302, FORT MYERS, FL 33905-7810
(239) 343-9700
(239) 343-9699
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9700
(239) 343-9699
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
045306
CT
207RC0000X
Cardiovascular Disease Physician
Primary
ME0103752
FL
208M00000X
Hospitalist Physician
045306
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002344200
—
FL
01
—
045306
LICENSE
CT
Enumeration date
04/24/2007
Last updated
03/30/2021
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