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NPI Code Detail

MEDICARE: AQ SURGERY LLC

MEDICARE: AQ SURGERY 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
12086X0206XSurgical Oncology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447875968
Entity Type Code : Organization
Provider Name (Legal Business Name) : AQ SURGERY 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 : 561-202-1075
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 : 561-202-1075
Authorized Official
Title or Position : MANAGING MEMBER
Name : DR. ANASTASIYA QUIMBY
Credential : MD, DDS
Telephone Number : 561-202-1070
Provider Enumeration Date : 06/10/2020
Last Update Date : 11/04/2024

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Directions to “AQ SURGERY LLC ” Practice Location

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