CHRISTIAN DAVID QUILES (NPI# 1255829446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255829446 |
| Entity Type | Individual |
| Full Name | CHRISTIAN DAVID QUILES |
| Credential | BA IN PSYCHOLOGY |
| Practice Address |
2520 Sand Mine Rd Davenport FL 33897-3402 |
| Mailing Address |
233 Brayton Ln Davenport FL 33897-6239 |
| Practice Telephone | 4079102941 |
| Mailing Telephone | 4074603184 |
| Mailing Fax Number | 4074603184 |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 017577400 | 05 |
| Street Address |
2520 SAND MINE RD |
| City | DAVENPORT |
| State | FL |
| Zip Code | 33897-3402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437430071 | Kara Kelly | Speech-Language Pathologist | 2520 Sand Mine Rd, Davenport, FL 33897-3402 | 2011-09-08 |
| 1952875239 | Gisela Michelle Everett Walker | Counselor | 2520 Sand Mine Rd, Davenport, FL 33897-3402 | 2019-01-19 |
| 1548732696 | Rebecca Cristina Carral | Speech-Language Pathologist | 2520 Sand Mine Rd, Davenport, FL 33897-3402 | 2018-12-28 |
| 1487126876 | Annamaria Vencenza Clark | Counselor | 2520 Sand Mine Rd, Davenport, FL 33897-3402 | 2018-12-22 |
| 1144796772 | Mary Knowlton | Physical Therapy Assistant | 2520 Sand Mine Rd, Davenport, FL 33897-3402 | 2018-10-22 |
| 1861972580 | Jacob Dunn | Physical Therapy Assistant | 2520 Sand Mine Rd, Davenport, FL 33897-3402 | 2018-08-21 |
| 1679064257 | Alyssa Johnson | Specialist/Technologist | 2520 Sand Mine Rd, Davenport, FL 33897-3402 | 2018-05-19 |
| 1689187163 | Maria Del Pilar Mora | Psychologist | 2520 Sand Mine Rd, Davenport, FL 33897-3402 | 2017-11-07 |
| 1285152595 | Evelina Pavlova | Counselor | 2520 Sand Mine Rd, Davenport, FL 33897-3402 | 2017-09-07 |
| 1699299339 | Amanda Marie Kummer | Physical Therapist | 2520 Sand Mine Rd, Davenport, FL 33897-3402 | 2017-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679182703 | Isis Orozco | Case Management | 9031 Pelican Cove, Davenport, FL 33897 | 2020-07-24 |
| 1669001178 | Jean Maxcene Decarde | Clinic/Center | 548 Solana Circle, Davenport, FL 33897 | 2020-04-06 |
| 1295298818 | Team Reid Solutions, Inc. | Clinic/Center | 843 Kettering Road, Davenport, FL 33897 | 2019-04-10 |
| 1013474063 | Surgeons of Central Florida LLC | General Practice | 755 Jay Bee Avenue, Davenport, FL 33897 | 2019-02-26 |
| 1033687108 | Detsy Z Negron | Registered Nurse | 121 Champions Vue Loop, Apt 101, Davenport, FL 33897 | 2018-11-07 |
| 1487122917 | Angela Burgos | Case Manager/Care Coordinator | 457 La Mirage Street, Davenport, FL 33897 | 2018-11-02 |
| 1790198323 | Compassionate Home Health Care LLC | Non-emergency Medical Transport (VAN) | 248 Plumoso Loop, Davenport, FL 33897 | 2014-06-11 |
| 1740530542 | Santiago Lopez | Chiropractor | 170 Hastead Dr, Davenport, FL 33897 | 2012-09-19 |
| 1942471685 | Carolina Gemma Leuthner | Speech-Language Pathologist | 736 Rodchester Loop, Davenport, FL 33897 | 2008-03-21 |
| 1013926377 | Omayra Torres | Dentist | 7700 Lake Wilson Road, Davenport, FL 33897 | 2006-08-05 |
| Find all providers in zip 33897 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399897 | Ana M Orozco | Psychologist | 3778 Lake Margaret Dr, Orlando, FL 32812-6616 | 2020-09-04 |
| 1831745512 | Charleen Diaz | Psychologist | 771 Lucaya Dr, Kissimmee, FL 34758-3279 | 2019-08-17 |
| 1073175170 | Lina Maria Rivera | Psychologist | 566 Calibre Crest Pkwy Apt 103, Altamonte Springs, FL 32714-3628 | 2019-06-28 |
| 1407347040 | Yarisel Marrero Torres | Psychologist | 3501 W Vine St Ste 278, Kissimmee, FL 34741-4673 | 2018-05-18 |
| 1982120325 | Mindwealth Institute LLC | Psychologist | 151 Se 3rd Ave Apt 435, Delray Beach, FL 33483-4683 | 2017-08-17 |
| 1124562384 | Anabel Perez Rodriguez | Psychologist | 11075 Prairie Hawk Dr, Orlando, FL 32837-8129 | 2016-12-07 |
| 1740633544 | Pierre Jean Duvelsaint | Psychologist | 595 W Church St, Apt. 602, Orlando, FL 32805-2285 | 2016-07-15 |
| 1558713578 | Leidy Johana Ortega | Psychologist | 3910 Shoreview Dr, Kissimmee, FL 34744-0002 | 2016-07-01 |
| 1497104483 | Patricia Prieto | Psychologist | 13584 Crystal River Dr, Orlando, FL 32828-8443 | 2016-06-09 |
| 1497100788 | Suinda Enid Rodriguez I | Psychologist | 2118 Florida Soapberry Blvd, Orlando, FL 32828-4869 | 2016-04-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.