Provider Demographics
NPI:1578536777
Name:QUINN, JAMES E (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:QUINN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2209 S FRENCH AVE
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-4245
Mailing Address - Country:US
Mailing Address - Phone:407-321-4230
Mailing Address - Fax:407-324-7642
Practice Address - Street 1:2209 S FRENCH AVE
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-4245
Practice Address - Country:US
Practice Address - Phone:407-321-4230
Practice Address - Fax:407-324-7642
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0031886207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL110007112OtherRAILROAD MEDICARE
FL17432ZMedicare ID - Type Unspecified
FL110007112OtherRAILROAD MEDICARE
FL0368680001Medicare NSC