| Nicole Renee Quint, OTRL 10954 | |
|
4568 Nw 17th Avenue, Tamarac, FL 33309-3701 | |
| (954) 772-2468 | |
| (954) 772-2468 |
| Full Name | Nicole Renee Quint |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 4568 Nw 17th Avenue, Tamarac, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528029824 | NPI | - | NPPES |
| 889980100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTRL 10954 (Florida) | Primary |
| Provider Name | Nova Southeastern University Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700924511 PECOS PAC ID: 4486568896 Enrollment ID: O20031118000987 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Renee Quint, OTRL 10954 Po Box 290370, Ft Lauderdale, FL 33329-0370 Ph: (954) 262-4346 | Nicole Renee Quint, OTRL 10954 4568 Nw 17th Avenue, Tamarac, FL 33309-3701 Ph: (954) 772-2468 |
Mr. Barry Kevin Gopaul, COTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7650 N University Dr, Tamarac, FL 33321 Phone: 954-726-1415 | |
Carlos David Camacho, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9821 S Grand Duke Cir, Tamarac, FL 33321 Phone: 954-662-8430 | |
Christine Elizabeth Jones, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7301 N University Dr Ste 301, Tamarac, FL 33321 Phone: 561-392-5131 | |
Lauren Schreier, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7650 N University Dr, Tamarac, FL 33321 Phone: 727-803-1102 | |
Mr. Dwayne Hoble, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8010 N University Dr, First Floor, Tamarac, FL 33321 Phone: 954-724-5500 Fax: 954-724-5131 | |
Mrs. Mahmanzar H Bavandi, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8197-3 N. University Dr, Tamarac, FL 33321 Phone: 954-720-2800 Fax: 954-720-6547 | |
Christine Gayed, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5911 Nw 87th Ave, Tamarac, FL 33321 Phone: 954-608-3884 Fax: 954-597-7255 |