Healthcare Provider Details

I. General information

NPI: 1558274142
Provider Name (Legal Business Name): JULIA V QUINTERO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5460 HOFFNER AVE STE 403
ORLANDO FL
32812-2511
US

IV. Provider business mailing address

2896 LINGO LN
ORLANDO FL
32822-5702
US

V. Phone/Fax

Practice location:
  • Phone: 786-567-0077
  • Fax:
Mailing address:
  • Phone: 786-567-0077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376G00000X
TaxonomyNursing Home Administrator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: