Provider Demographics
NPI:1952605537
Name:CHRISTOPHER K QUINSEY MD PA
Entity Type:Organization
Organization Name:CHRISTOPHER K QUINSEY MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:K
Authorized Official - Last Name:QUINSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-688-9898
Mailing Address - Street 1:PO BOX 954135
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32795-4135
Mailing Address - Country:US
Mailing Address - Phone:407-688-9898
Mailing Address - Fax:407-688-9809
Practice Address - Street 1:2500 W LAKE MARY BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-3501
Practice Address - Country:US
Practice Address - Phone:407-688-9898
Practice Address - Fax:407-688-9809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-22
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU0VXGOtherBCBS OF FL
FL014476600Medicaid
FLU0VXGOtherBCBS OF FL