Individual
JONATHAN P AXEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
631 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 413-9119
(813) 413-9122
Mailing address
631 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 413-9119
(813) 413-9122
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME0049689
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME49689
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062532900
—
FL
Enumeration date
11/21/2006
Last updated
05/01/2014
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