Doctor Name: | MR. ROBERTO FERNANDO QUIROZ |
NPI Number: | 1043414147 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | MH7627 |
Business Practice Address: | 1265 Kass Cir Spring Hill, FL - 346064308 |
Business Phone Number: | 3526863188 |
Business Fax Number: | 3526869394 |
Mailing Address: | 13253 Haverhill Dr, SPRING HILL |
State: | FL |
Postal Code: | 346090645 |
Phone Number: | 9548173955 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2007 |
NPI Last Update Date: | 09/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH7627 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |