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General NPI Number Information
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NPI Number | 1922609189
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Entity Type | Individual
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Provider Name | MANUEL QUINTERO NP-C
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Gender | Male
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 50 NW 15TH ST STE 101
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City | HOMESTEAD
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State | FL
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Zip | 33030-4267
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Country | US
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Telephone | 786-886-1030
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Fax | 786-377-9629
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Provider Business Mailing Address
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Address Line | 21880 OLD CUTLER RD
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City | CUTLER BAY
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State | FL
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Zip | 33190-1024
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Country | US
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Telephone | 786-752-0755
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11009973
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11009973
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License Number State | FL
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