Provider Demographics
NPI:1366491896
Name:KLINGBEIL, QUINT A (PA-C)
Entity Type:Individual
Prefix:MR
First Name:QUINT
Middle Name:A
Last Name:KLINGBEIL
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:3100 W END AVE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1320
Mailing Address - Country:US
Mailing Address - Phone:615-345-5581
Mailing Address - Fax:615-345-5565
Practice Address - Street 1:2640 SW 32ND PL
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-7847
Practice Address - Country:US
Practice Address - Phone:352-369-1099
Practice Address - Fax:352-369-0299
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2020-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9103641363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical