Male or Other

Craig D. Quezada PA-C

Medical Physician Assistant in Coral Gables, FL(View on Map)

Full Name

Craig David Quezada PA-C

NPI Number

1780451492

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/04/2023

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

9118229

Contact
Information

Purpose

Mailing
Location

Address

2521 SAN DOMINGO ST
2521 SAN DOMINGO ST

City

Coral Gables
Coral Gables

State

FL
FL

Postal Code

33134-5560
33134-5560

Country

US
US

Telephone Number

(757) 750-5458
(757) 750-5458

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/06/2023

Provider Address

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Specialty: Medical Physician Assistant (Primary)

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Male or Other

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Specialty: Medical Physician Assistant (Primary)

Female

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Specialty: Medical Physician Assistant (Primary)