Healthcare Provider Details

I. General information

NPI: 1043520976
Provider Name (Legal Business Name): LEO FRANCIS QUINN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2010
Last Update Date: 10/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8645 BOYNTON BEACH BLVD
BOYNTON BEACH FL
33472-4415
US

IV. Provider business mailing address

1356 THATCH PALM DR
BOCA RATON FL
33432-7531
US

V. Phone/Fax

Practice location:
  • Phone: 561-737-6336
  • Fax:
Mailing address:
  • Phone: 561-391-4264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberLL438
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: