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NPI Code Detail

MEDICARE: REGINA P QUINAIN, MD PA

MEDICARE: REGINA P QUINAIN, MD PA
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 Physician

General Provider Information

NPI Number : 1245426386
Entity Type Code : Organization
Provider Name (Legal Business Name) : REGINA P QUINAIN, MD PA
Provider Business Mailing Address
First Line : PO BOX 780584
Second Line :
City : ORLANDO
State : FL
Zip : 32878-0584
Country : US
Telephone Number : 407-672-1002
Fax Number : 407-673-1003
Provider Business Practice Location Address
First Line : 10967 LAKEUNDERHILL ROAD
Second Line : SUITE 107
City : ORLANDO
State : FL
Zip : 32825-4434
Country : US
Telephone Number : 407-672-1002
Fax Number : 407-823-9206
Authorized Official
Title or Position : OWNER
Name : REGINA P. QUINAIN
Credential : M.D.
Telephone Number : 407-672-1002
Provider Enumeration Date : 09/21/2007
Last Update Date : 08/31/2018

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