Quintensia Lolita Gaitan-Harris

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9111409 Issued in FL

Practice address

37912 Church Ave
Dade City, FL 33525-4207

Phone

(407) 274-7624

NPI assigned

Aug 20, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• All Around Health and Wellness

  • Psychiatry Physician
  • Sanford, FL
  • NPI 1750058962
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1477033496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 PADDOCK GLEN DR UNIT 208",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37912 CHURCH AVE",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254207",
            "telephone_number": "407-274-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAITAN-HARRIS",
        "first_name": "QUINTENSIA",
        "middle_name": "LOLITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franklin Pharmacy South LLC
• David W Friedman, D.D.S.
• Tracey Fulcher, RN
• China Valencia Gadsden, RBT, HHA
• Arthur Gagne, CPO
• Sagar C Galwankar, MD
• Beth Lorraine Genho, DDS
• Michele Gerrell
• Jaclyn Giardino, APRN
• Susan J Gibbs, ARNP

• Physician Assistant in Dade City, FL
• Providers in Dade City, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.