Provider Demographics
NPI:1275920522
Name:QUINONES, JEYDIE ANNETTE
Entity Type:Individual
Prefix:MRS
First Name:JEYDIE
Middle Name:ANNETTE
Last Name:QUINONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4215 MENDENWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-4233
Mailing Address - Country:US
Mailing Address - Phone:407-242-0329
Mailing Address - Fax:
Practice Address - Street 1:4215 MENDENWOOD LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-4233
Practice Address - Country:US
Practice Address - Phone:407-242-0329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-23
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program