| Dr Ethan Quinn, DC | |
|
3155 S Orange Ave, Orlando, FL 32806-6193 | |
| (407) 289-1055 | |
| Not Available |
| Full Name | Dr Ethan Quinn |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 4 Years |
| Location | 3155 S Orange Ave, Orlando, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275121014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 13351 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Coastal Healthcare Partners, Llc | 0244509149 | 3 |
| Provider Name | Coastal Healthcare Partners, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053762740 PECOS PAC ID: 0244509149 Enrollment ID: O20170710001136 |
| Provider Name | New Journey Chiropractic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386153021 PECOS PAC ID: 0446516645 Enrollment ID: O20171103000757 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ethan Quinn, DC 712 Nicolet Ave Apt 35, Winter Park, FL 32789-4654 Ph: (717) 314-2699 | Dr Ethan Quinn, DC 3155 S Orange Ave, Orlando, FL 32806-6193 Ph: (407) 289-1055 |
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