Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | ME64755 | FL |
NPI | 1578764742 |
---|---|
Provider Name | Dr. Martin Mark Quigley |
First Address | Saint Petersburg, FL 33702-1457 |
Second Address | Saint Petersburg, FL 33702-1457 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 08/07/2007 |