Provider Demographics
NPI:1649419458
Name:MARIE QUINONEZ, MDPA
Entity Type:Organization
Organization Name:MARIE QUINONEZ, MDPA
Other - Org Name:DR Q PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MCINTYRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-654-1917
Mailing Address - Street 1:448 S ALAFAYA TRL
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-8974
Mailing Address - Country:US
Mailing Address - Phone:407-275-5700
Mailing Address - Fax:407-381-5802
Practice Address - Street 1:448 S ALAFAYA TRL
Practice Address - Street 2:SUITE ONE
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-8974
Practice Address - Country:US
Practice Address - Phone:407-275-5700
Practice Address - Fax:407-381-5802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-18
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty