Organization
AXIS MULTISPECIALTY GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA SHANKS (CREDENTIALING SPECIALIST)
(725) 235-7239
Entity
Organization
Contact information
Practice address
817 NW 56TH TER STE B, GAINESVILLE, FL 32605-6401
(352) 234-3050
(702) 977-1496
Mailing address
817 NW 56TH TER STE B, GAINESVILLE, FL 32605-6401
(352) 234-3050
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
09/04/2025
Last updated
11/10/2025
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