# AXLE MEDICAL SUPPLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083325740
- **Authorized official:** MARIO GONZALEZ (REGISTERED AGENT)
- **Authorized official phone:** (786) 487-5817

## Contact information

- **Practice address:** 5979 NW 151ST ST STE 232, MIAMI LAKES, FL 33014-2427
- **Practice address phone:** (305) 456-4139
- **Mailing address:** 5979 NW 151ST ST STE 232, MIAMI LAKES, FL 33014-2427
- **Mailing address phone:** (786) 487-5817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2022
- **Last updated:** 03/21/2023