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NPI Code Detail

MEDICARE: AQ SURGERY II LLC

MEDICARE: AQ SURGERY II LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207YX0007XPlastic Surgery within the Head & Neck (Otolaryngology) Physician

General Provider Information

NPI Number : 1861186579
Entity Type Code : Organization
Provider Name (Legal Business Name) : AQ SURGERY II LLC
Provider Business Mailing Address
First Line : 1411 N FLAGLER DR STE 7600
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-3419
Country : US
Telephone Number : 561-202-1070
Fax Number : 531-202-1075
Provider Business Practice Location Address
First Line : 1411 N FLAGLER DR STE 7600
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-3419
Country : US
Telephone Number : 561-202-1070
Fax Number : 531-202-1075
Authorized Official
Title or Position : PRESIDENT PHYSICIAN
Name : ANASTASIYA QUIMBY
Credential : MD, DDS
Telephone Number : 561-202-1070
Provider Enumeration Date : 06/06/2023
Last Update Date : 06/06/2023

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Directions to “AQ SURGERY II LLC ” Practice Location

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