IVAN QUINTANA

KISSIMMEE, FL
NPI1922378272
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: FL  ps025589)
Enumeration Date2012-01-04
Last Update Date2012-01-04
Business Address
-- IVAN QUINTANA
5935 W IRLO BRONSON HWY
KISSIMMEE, FL 34746-4765
Phone number: 407-396-1006
Mailing Address
-- IVAN QUINTANA
5935 W IRLO BRONSON HWY
KISSIMMEE, FL 34746-4765
Phone number: 407-396-1006