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Individual

DR. DANIEL LOUIS AXELROD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13813 METRO PKWY, FORT MYERS, FL 33912-4343
(239) 936-1343
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2612

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME75352
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
262515600
FL
01
43731
BC BS PROVIDER #
FL
Enumeration date
07/11/2005
Last updated
01/19/2023
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