La Quinn Md Pa is a
Phlebology based in Jacksonville Beach, Florida. La Quinn Md Pa is licensed to practice in Florida (license number ME94947) and their current practice location is
484 Jacksonville Dr, Jacksonville Beach, Florida. It can be reached at their office (for appointments etc.) via phone at
(904) 595-5980.
NPI number for La Quinn Md Pa is 1013076330 and their current mailing address is 484 Jacksonville Dr, Jacksonville Beach, Florida. La Quinn Md Pa
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1013076330.
Healthcare Provider's Profile
| Full Name | La Quinn Md Pa |
|---|
| Type | Facility |
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| Speciality | Phlebology |
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| Location | 484 Jacksonville Dr, Jacksonville Beach, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013076330
- Provider Enumeration Date: 12/06/2006
- Last Update Date: 10/31/2013
Medical Identifiers
Medical identifiers for La Quinn Md Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013076330 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | ME94947 (Florida) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | ME94947 (Florida) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | ME94947 (Florida) | Secondary |
| 202K00000X | Phlebology | ME94947 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. La Quinn Md Pa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
La Quinn Md Pa
484 Jacksonville Dr,
Jacksonville Beach, FL 32250-3812
Ph: (904) 595-5980 | La Quinn Md Pa
484 Jacksonville Dr,
Jacksonville Beach, FL 32250-3812
Ph: (904) 595-5980 |
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