Quadrat, Otakar

Quadrat, Otakar is an individual health care provider with primary practice located at 311 N Clyde Morris Blvd Suite 320, Daytona Beach FL 32114-2781. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Quadrat, Otakar can be contacted via phone (386) 255-5331.

Contact Information

Primary practice address
311 N Clyde Morris Blvd Suite 320 Daytona Beach FL 32114-2781
Phone: (386) 255-5331
Fax: (386) 254-8945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME0073016 Florida

Profile Details

NPI number 1245286624
LBN Legal business name Quadrat, Otakar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Mar 13th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245286624 NPPES
Florida MEDICAID 251962300

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