Organization
AXLE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO GONZALEZ (REGISTERED AGENT)
(786) 487-5817
Entity
Organization
Contact information
Practice address
5979 NW 151ST ST STE 232, MIAMI LAKES, FL 33014-2427
(305) 456-4139
Mailing address
5979 NW 151ST ST STE 232, MIAMI LAKES, FL 33014-2427
(786) 487-5817
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
03/21/2023
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