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Contact Information

LA QUINN MD PA
484 JACKSONVILLE DR
JACKSONVILLE BEACH, FL32250-3812
 Phone: 904-595-5980
 Fax: 904-595-5985
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Phlebology

202K00000X
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
 

Procedural Dermatology

207NS0135X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for LA QUINN MD PA

NPI # 1013076330
LBN Legal business name LA QUINN MD PA
Authorized official LINDA QUINN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/06/2006
Last updated 10/31/2013 - About 13 years ago
Identifiers
FL License # ME94947
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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