Individual
JOHN AXLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4400 BAYOU BLVD STE 43, PENSACOLA, FL 32503-1910
(850) 477-3015
(850) 477-3026
Mailing address
4400 BAYOU BLVD STE 43, PENSACOLA, FL 32503-1910
(850) 477-3015
(850) 477-3026
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
00007052
AL
2084N0400X
Neurology Physician
Primary
ME20237
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009945805
—
AL
05
—
052598700
—
FL
01
—
406132045
RRB PTAN
—
Enumeration date
11/16/2006
Last updated
10/30/2007
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