| Organization Name: | LA QUINN MD PA |
| NPI Number: | 1013076330 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA A. QUINN (PRESIDENT) |
| Mailing Address: | 484 Jacksonville Dr Jacksonville Beach |
| State: | FL US |
| Postal Code: | 322503812 |
| Phone Number: | 9045955980 |
| Fax Number: | 9045955985 |
| NPI Enumeration Date: | 12/06/2006 |
| NPI Last Update Date: | 10/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133VN1006X |
| License Number: | ME94947 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | Nutrition, Metabolic |
| Taxonomy Definition: | |