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AQ SURGERY II, LLC

Company Details

Entity Name: AQ SURGERY II, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 16 May 2023 (2 years ago)
Document Number: L23000240271
FEI/EIN Number 93-1395777
Address: 1411 N FLAGLER DR, STE 7600, WEST PALM BEACH, FL, 33401, US
Mail Address: 1411 N FLAGLER DR, STE 7600, WEST PALM BEACH, FL, 33401, US
ZIP code: 33401
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861186579 2023-06-06 2023-06-06 1411 N FLAGLER DR STE 7600, WEST PALM BEACH, FL, 334013419, US 1411 N FLAGLER DR STE 7600, WEST PALM BEACH, FL, 334013419, US

Contacts

Phone +1 561-202-1070
Fax 5312021075

Authorized person

Name ANASTASIYA QUIMBY
Role PRESIDENT PHYSICIAN
Phone 5612021070

Taxonomy

Taxonomy Code 207YX0007X - Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Is Primary Yes

Agent

Name Role Address
GUCCIARDO TRAVIS R Agent 5422 BAY CENTER DR, TAMPA, FL, 33609

Manager

Name Role Address
QUIMBY ANASTASIYA Manager 630 TRIANA ST, WEST PALM BEACH, FL, 33413

Member

Name Role Address
Liu Rosa Member 1411 N FLAGLER DR, WEST PALM BEACH, FL, 33401

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000068115 AQ REVIVE COSMETICS ACTIVE 2024-05-30 2029-12-31 No data 1411 N FLAGLER DR, ST 7600, WEST PALM BEACH, FL, 33401

Documents

Name Date
AMENDED ANNUAL REPORT 2024-05-30
ANNUAL REPORT 2024-03-28
Florida Limited Liability 2023-05-16

Date of last update: 01 Feb 2025

Sources: Florida Department of State