Healthcare Provider Details

I. General information

NPI: 1710874193
Provider Name (Legal Business Name): DAYLIGHT PEDIATRICS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2025
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1688 W GRANADA BLVD STE 1A
ORMOND BEACH FL
32174-1818
US

IV. Provider business mailing address

1688 W GRANADA BLVD STE 1A
ORMOND BEACH FL
32174-1818
US

V. Phone/Fax

Practice location:
  • Phone: 386-425-4414
  • Fax: 386-615-8466
Mailing address:
  • Phone: 386-425-4414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAIME E QUINTEROS
Title or Position: PRESIDENT
Credential: MD
Phone: 386-425-4414