Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | ME104019 | FL |
NPI | 1003006552 |
---|---|
Provider Name | Dr. Alner Miguel Quinonez |
First Address | Fort Meade, FL 33841-2918 |
Second Address | Fort Meade, FL 33841-2918 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2007 |
Last Update Date | 22/07/2009 |