Provider Demographics
NPI:1003137852
Name:SCARBOROUGH, QUINCY ANNE (MD)
Entity Type:Individual
Prefix:
First Name:QUINCY
Middle Name:ANNE
Last Name:SCARBOROUGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:QUINCY
Other - Middle Name:A
Other - Last Name:GRIFFIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1545 BRANNAN FIELD RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MIDDLEBURG
Mailing Address - State:FL
Mailing Address - Zip Code:32068-8459
Mailing Address - Country:US
Mailing Address - Phone:904-450-8575
Mailing Address - Fax:904-291-3822
Practice Address - Street 1:1545 BRANNAN FIELD RD
Practice Address - Street 2:SUITE 1
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068-8459
Practice Address - Country:US
Practice Address - Phone:904-450-8575
Practice Address - Fax:904-291-3822
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME115720207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine