MEDICARE: MRS. VANESSA SEIGLIE QUINONES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	ME128586	FL

General Provider Information

NPI Number	:	1255647715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VANESSA SEIGLIE QUINONES MD

Provider Business Mailing Address
First Line	:	601 S HARBOUR ISLAND BLVD STE 200
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33602-5925
Country	:	US
Telephone Number	:	727-322-3439
Fax Number	:	800-928-7449

Provider Business Practice Location Address
First Line	:	6028 BENNETT RD
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216-5004
Country	:	US
Telephone Number	:	904-737-6422
Fax Number	:	844-388-6186

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2010
Last Update Date	:	10/24/2025

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