Maquera, Victor A
Maquera, Victor A is an individual health care provider with primary practice located at 1895 Kingsley Ave Ste 903, Orange Park FL 32073-4466. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Maquera, Victor A can be contacted via phone (904) 276-1663.Contact Information
Primary practice address
1895 Kingsley Ave Ste 903
Orange Park FL 32073-4466
Phone: (904) 276-1663
Fax: (904) 276-2469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME59449 | Florida |
Profile Details
| NPI number | 1891786059 |
|---|---|
| LBN Legal business name | Maquera, Victor A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Jan 6th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891786059 | NPPES |
| Florida | Other | 1891786059 | NPI |
| Florida | MEDICAID | 379665500 | NPI |
| Florida | Other | 130013419 | NPI |
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