Individual ProviderEdison QuinonesPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4201 Belfort Rd, Jacksonville, FL 32216-1431(904) 296-3700(904) 514-8439PECOS EnrollmentBased on the most recent information from CMS, provider Edison Quinones does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1760710198Provider TypeIndividualFull NameQuinones, EdisonGenderMaleSole ProprietorNoEnumeration Date11/23/2009Last Updated11/23/2009Contact InformationPractice LocationPractice Address4201 Belfort Rd, Jacksonville, FL 32216-1431Phone(904) 296-3700FaxUnlisted FaxMailing LocationMailing Address6650 Corporate Center Pkwy, Apt. 209, Jacksonville, FL 32216-0988Phone(904) 514-8439FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer