Healthcare Provider Details

I. General information

NPI: 1336071893
Provider Name (Legal Business Name): EMILY LORELL QUINONES NCPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2275 J LAWSON BLVD
ORLANDO FL
32824-4323
US

IV. Provider business mailing address

2275 J LAWSON BLVD
ORLANDO FL
32824-4323
US

V. Phone/Fax

Practice location:
  • Phone: 407-610-9594
  • Fax: 321-420-7080
Mailing address:
  • Phone: 407-610-9594
  • Fax: 321-420-7080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Q00000X
TaxonomyPathology Specialist/Technologist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: