# AXEL REHABILITATION SERVICES LLC

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

## Provider details

- **NPI number:** 1851080972
- **Authorized official:** JESSELL LLORENTE (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (239) 208-6648

## Contact information

- **Practice address:** 4755 SUMMERLIN RD STE 8, FORT MYERS, FL 33919-1073
- **Practice address phone:** (239) 208-6648
- **Practice address fax:** (855) 462-3008
- **Mailing address:** 4820 GRIFFIN BLVD, FORT MYERS, FL 33908-2016
- **Mailing address phone:** (239) 208-6648
- **Mailing address fax:** (855) 462-3008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 225400000X | Rehabilitation Practitioner | — | NULL | — |
| 225400000X | Rehabilitation Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/04/2023
- **Last updated:** 05/04/2023