Provider Demographics
NPI:1750575395
Name:QUAGLIATA, JOSEPH JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JOHN
Last Name:QUAGLIATA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:400 COMMERCE STREET
Mailing Address - Street 2:SUITE 600
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:32719-6108
Mailing Address - Country:US
Mailing Address - Phone:615-345-6900
Mailing Address - Fax:615-345-6905
Practice Address - Street 1:740 S CONCOURSE PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-6108
Practice Address - Country:US
Practice Address - Phone:407-644-4014
Practice Address - Fax:407-644-5270
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2018-06-28
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Provider Licenses
StateLicense IDTaxonomies
FLME99844207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL279182000Medicaid
FLAE715YMedicare PIN