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AQ SURGERY LLC NPI 1447875968


NPI Information

NPI: 1447875968
Provider Name: AQ SURGERY LLC
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
14050 INTEGRA DR APT 1134
JACKSONVILLE, FL
ZIP 32218
Phone: (754) 200-1052
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AQ SURGERY LLC is an oral maxillofacial surgery in Jacksonville, FL. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. AQ SURGERY LLC NPI is 1447875968. The provider is registered as an organization entity type.

The provider's business location address is:

14050 INTEGRA DR APT 1134
JACKSONVILLE, FL
ZIP 32218-666
Phone: (754) 200-1052

The provider's authorized official is Anastasiya Quimby .
The authorized official title is Managing Member and has the following contact phone number (754) 200-1052.

The enumeration date for this NPI number is 6/10/2020 and was last updated on 9/10/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryNo
2204E00000XOral & Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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