Organization Active NPI

Quintin O Law MD PA

  • Internal Medicine Physician
  • Gulf Breeze, FL
National Provider Identifier
1831379965
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME59640 Issued in FL
Legal business name
QUINTIN O LAW MD PA
Practice address
85 Bay Bridge Dr
Gulf Breeze, FL 32561-4468
Phone
(850) 932-2000
Fax
(850) 932-8697
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Quintin Law, M.D.
Title
Owner
Phone
(850) 932-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME59640 FL Primary

Addresses

Primary practice location

85 Bay Bridge Dr
Gulf Breeze, FL 32561-4468

Mailing address

85 Bay Bridge Dr
Gulf Breeze, FL 32561-4468
Phone (850) 932-2000

Other names 1

  • Gulf Breeze Internal Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1831379965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BAY BRIDGE DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614468",
            "telephone_number": "850-932-2000",
            "fax_number": "850-932-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BAY BRIDGE DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614468",
            "telephone_number": "850-932-2000",
            "fax_number": "850-932-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTIN O LAW MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "QUINTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-932-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME59640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Breeze Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.