Healthcare Provider Details

I. General information

NPI: 1356325419
Provider Name (Legal Business Name): CARMEL L QUIGLEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2005
Last Update Date: 05/03/2023
Certification Date: 05/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3231 SW 34TH AVE
OCALA FL
34474-8489
US

IV. Provider business mailing address

3231 SW 34TH AVE
OCALA FL
34474-8489
US

V. Phone/Fax

Practice location:
  • Phone: 352-813-7400
  • Fax:
Mailing address:
  • Phone: 352-873-7400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME47381
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207PH0002X
TaxonomyHospice and Palliative Medicine (Emergency Medicine) Physician
License NumberME47381
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberME47381
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: