Provider Demographics
NPI:1285011627
Name:BELL, AQULIS (MD)
Entity Type:Individual
Prefix:DR
First Name:AQULIS
Middle Name:
Last Name:BELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:AQULIS
Other - Middle Name:D
Other - Last Name:BELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD,PHD
Mailing Address - Street 1:10691 GRAYSON ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32220-1891
Mailing Address - Country:US
Mailing Address - Phone:904-955-9293
Mailing Address - Fax:
Practice Address - Street 1:9347 JAYBIRD CIR E
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-5276
Practice Address - Country:US
Practice Address - Phone:904-955-9293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-06
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X, 2471V0105X, 174400000X
ARDMS1099822471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography
No2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography