Active NPI
La Quinn MD PA
- Phlebology Physician
- Jacksonville Beach, FL
National Provider Identifier
1013076330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- License
- ME94947
- Legal business name
- LA QUINN MD PA
- Practice address
- 484 Jacksonville Dr
Jacksonville Beach, FL 32250-3812 - Phone
- (904) 595-5980
- Fax
- (904) 595-5985
- NPI assigned
- Dec 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Linda A. Quinn, M.D.
- Title
- President
- Phone
- (904) 595-5980
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian | 133VN1006X | ME94947 | FL | |
| Phlebology Physician | 202K00000X | ME94947 | FL | Primary |
| Procedural Dermatology Physician | 207NS0135X | ME94947 | FL | |
| Gynecology Physician | 207VG0400X | ME94947 | FL |
Addresses
Primary practice location
484 Jacksonville Dr
Jacksonville Beach, FL 32250-3812
Mailing address
484 Jacksonville Dr
Jacksonville Beach, FL 32250-3812
Phone (904) 595-5980
Other names 1
- LInda A Quinn MD PA
National Provider Directory
National Provider DirectoryLocations
8075 Gate Pkwy W
Ste 101
Jacksonville, FL 32216
Phone (904) 296-0900
8761 Perimeter Park Blvd
Ste 101
Jacksonville, FL 32216
Phone (904) 645-8778
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Jacksonville, FL
- NPI 1881767341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383177600000",
"number": "1013076330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 JACKSONVILLE DR",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322503812",
"telephone_number": "904-595-5980",
"fax_number": "904-595-5985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 JACKSONVILLE DR",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322503812",
"telephone_number": "904-595-5980",
"fax_number": "904-595-5985"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA QUINN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2013-10-31",
"status": "A",
"authorized_official_last_name": "QUINN",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "904-595-5980",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "133VN1006X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "FL",
"license": "ME94947",
"primary": false
},
{
"code": "202K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Phlebology",
"state": "FL",
"license": "ME94947",
"primary": true
},
{
"code": "207NS0135X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": "FL",
"license": "ME94947",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "ME94947",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LInda A Quinn MD PA",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Jacksonville Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.