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NPI Code Detail

MEDICARE: REGINA P QUINAIN M.D.

MEDICARE: REGINA P QUINAIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME86261FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ME86261OTHERFLMEDICAL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174520373
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGINA P QUINAIN M.D.
Provider Business Mailing Address
First Line : 110 S WOODLAND ST
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-3546
Country : US
Telephone Number : 407-905-8827
Fax Number : 407-905-8998
Provider Business Practice Location Address
First Line : 225 N 1ST ST
Second Line :
City : LEESBURG
State : FL
Zip : 34748-5150
Country : US
Telephone Number : 407-905-8827
Fax Number : 352-360-2389
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 01/28/2021

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Directions to “ REGINA P QUINAIN M.D.” Practice Location

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