Individual
JEREMY RON ALQUIZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1851 OLD MOULTRIE RD, ST AUGUSTINE, FL 32084-4168
(904) 824-8088
Mailing address
7154 AMBROSIUS WAY, JACKSONVILLE, FL 32258-6541
(904) 887-7459
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN11043624
FL
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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