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Individual

DR. DAVID ROBERT AXLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
399 9TH ST N, 300, NAPLES, FL 34102-5820
(239) 624-4200
(239) 624-4201
Mailing address
399 9TH ST N, 300, NAPLES, FL 34102-5820
(239) 624-4200
(239) 624-4201

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME66128
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25608A
BCBS
FL
01
25608X
MEDICARE
FL
05
376127400
FL
Enumeration date
09/07/2005
Last updated
07/21/2022
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