AQ SURGERY LLC


Address: 14050 Integra Dr Apt 1134, Jacksonville, FL 32218-2666
Phone: 7542001052

AQ SURGERY LLC (NPI# 1447875968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447875968
Entity Type Organization
Organization Name AQ SURGERY LLC
Practice Address 14050 Integra Dr Apt 1134
Jacksonville
FL 32218-2666
Mailing Address 405 Ne 2nd St Apt 2505
Fort Lauderdale
FL 33301-2870
Practice Telephone 7542001052
Enumeration Date 2020-06-10
Last Update Date 2020-09-10
Authorized Official Name DR. ANASTASIYA QUIMBY (MANAGING MEMBER)
Authorized Official Telephone 7542001052
Authorized Official Credential MD, DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QS0112X Clinic/Center
Specialization: Oral and Maxillofacial Surgery
Ambulatory Health Care Facilities
Y 204E00000X Oral & Maxillofacial Surgery Allopathic & Osteopathic Physicians

Office Location

Street Address 14050 INTEGRA DR APT 1134
City JACKSONVILLE
State FL
Zip Code 32218-2666

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1215420229 Companion & Compassion LLC Home Health 856 Poydras Ln W, Jacksonville, FL 32218 2018-06-13
1952894784 Michael Alexander Aaro Dentist 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 2018-06-06
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Taxonomy Information

Taxonomy Code 204E00000X
Grouping Allopathic & Osteopathic Physicians
Classification Oral & Maxillofacial Surgery

Taxonomy Definition

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.
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780755314 Stephen Craig English Oral & Maxillofacial Surgery 2363 2 Dunn Avenue, Jacksonville, FL 32218-4601 2006-11-13
1144210964 Richard Wayne Joseph Sr. Oral & Maxillofacial Surgery 5101-1 Gate Parkway, Jacksonville, FL 32256 2005-10-24
1164814596 Andrew L. Skigen Dmd Pa Oral & Maxillofacial Surgery 8708 Perimeter Park Blvd, Suite #1, Jacksonville, FL 32216-6354 2015-02-23
1659690576 Anthony Bunnell Oral & Maxillofacial Surgery 653 W 8th St, Faculty Clinic 3rd Fl, Jacksonville, FL 32209-6511 2010-05-18
1831353747 Christopher Wright Latham Oral & Maxillofacial Surgery 2047 Park St, Jacksonville, FL 32204-3809 2008-07-10
1326105933 Meadows Lutcavage Smith Vinton Fidler Long & Armstrong Pa Oral & Maxillofacial Surgery 46 Office Park Dr, Jacksonville, NC 28546-3217 2007-01-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730747395 Michael A. Pikos, Dds Pa Oral & Maxillofacial Surgery 11940 Sheldon Road, Tampa, FL 33626 2019-05-30
1447625579 Michael M Hashemian Dmd Md Pa Oral & Maxillofacial Surgery 32 Seven Hills Dr, Spring Hill, FL 34609-0212 2015-12-01
1629486097 Oral Surgery Associates Oral & Maxillofacial Surgery 195 W Highland Street, Altamonte Springs, FL 32714 2014-07-29
1356601249 First Coast Oral & Facial Surgery, Pa Oral & Maxillofacial Surgery 319 W Town Place, Suite 2, St Augustine, FL 32092 2012-05-24
1043582331 Scott E. Farber, Dds.,p.a Oral & Maxillofacial Surgery 5150 Curry Ford Rd, Orlando, FL 32812-8744 2012-02-01
1760613426 Jason E. Portnof Oral & Maxillofacial Surgery 9980 Central Park Blvd N Ste 113, Boca Raton, FL 33428-1703 2009-07-29
1497984785 Ricardo M Ortiz Oral & Maxillofacial Surgery 2929 Capital Medical Blvd, Tallahassee, FL 32308-4407 2009-07-08
1992983654 Patricia Hornback Dmd Oral & Maxillofacial Surgery 2426 Jenks Ave, Panama City, FL 32405-4908 2008-02-05
1821290305 Marvin Craig Diamond Oral & Maxillofacial Surgery 5521 Bilbao Pl, Sarasota, FL 34238-4708 2007-06-05
1912048240 Facial Surgery Center Pa Oral & Maxillofacial Surgery 1371 Bedford Drive, Melbourne, FL 32940 2007-02-09
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Competitor

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City JACKSONVILLE
Zip Code 32218

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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