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Fernando Alexis Quintanilla Leyva
Family Nurse Practitioner in St Petersburg, Florida
NPI 1578296034

Fernando Alexis Quintanilla Leyva is a Family Nurse Practitioner based in St Petersburg, FL and is specialized in Family. Fernando Alexis Quintanilla Leyva practices in St Petersburg, FL. The NPI Number for Fernando Alexis Quintanilla Leyva is 1578296034 and holds a License No. F06222096 (Florida).

The current practice location address for Fernando Alexis Quintanilla Leyva is 6217 38Th Ave N, St Petersburg, FL and can be reached out via phone at 727-623-1695.

Location: 6217 38Th Ave N, St Petersburg, FL, 33710-1608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578296034
Provider Name
Fernando Alexis Quintanilla Leyva
Credential
Provider Entity Type
Individual
Gender
Male
Address
6217 38Th Ave N, St Petersburg, FL, 33710-1608
Phone Number
727-623-1695
Fax Number
Provider Enumeration Date
07/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6217 38Th Ave N
City
St Petersburg
State
Florida
Zip
33710-1608
Phone Number
727-623-1695
Fax Number
person
Provider Business Mailing Address Details
Address
6217 38Th Ave N
City
St Petersburg
State
Florida
Zip
33710-1608
Phone Number
727-623-1695
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F06222096 (Florida)
Definition
Definition to come...
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