# AXZELANT LLC

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

## Provider details

- **NPI number:** 1578942926
- **Authorized official:** DR. MARIA D DOHERTY (PRESIDENT)
- **Authorized official phone:** (813) 479-7659

## Contact information

- **Practice address:** 11525 CORTEZ BLVD, SPRING HILL, FL 34613-7373
- **Practice address phone:** (813) 479-7659
- **Practice address fax:** (813) 569-2220
- **Mailing address:** 11525 CORTEZ BLVD, SPRING HILL, FL 34613-7373
- **Mailing address phone:** (813) 479-7659
- **Mailing address fax:** (813) 569-2220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | CC1971409501 | FL | Yes |

## Other

- **Enumeration date:** 05/19/2015
- **Last updated:** 05/19/2015
