Osborn, Ross Quinn

Osborn, Ross Quinn is an individual health care provider with primary practice located at 115 Bartram Oaks Walk Suite 104, Jacksonville FL 32259-3243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Osborn, Ross Quinn can be contacted via phone (904) 240-0442.

Contact Information

Primary practice address
115 Bartram Oaks Walk Suite 104 Jacksonville FL 32259-3243
Phone: (904) 240-0442
Fax: (904) 240-2471
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME89577 Florida

Profile Details

NPI number 1528042496
LBN Legal business name Osborn, Ross Quinn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated May 3rd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528042496 NPPES
Florida MEDICAID 2695634-00

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