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NPI Code Detail

MEDICARE: NICOLE QUINONES LMT

MEDICARE:   NICOLE  QUINONES  LMT
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
1225700000XMassage TherapistMA100166FL

General Provider Information

NPI Number : 1598495863
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE QUINONES LMT
Provider Business Mailing Address
First Line : 2024 NE 135TH TER
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33181-1818
Country : US
Telephone Number : 786-537-4998
Fax Number :
Provider Business Practice Location Address
First Line : 2024 NE 135TH TER
Second Line :
City : NORTH MIAMI BEACH
State : FL
Zip : 33181-1818
Country : US
Telephone Number : 786-537-4998
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2022
Last Update Date : 06/10/2022

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Directions to “ NICOLE QUINONES LMT” Practice Location

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