Organization
AXIS MEDICAL SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA C PARRA (MANAGER)
(407) 601-4937
Entity
Organization
Contact information
Practice address
535 S DILLARD ST, WINTER GARDEN, FL 34787-3580
(407) 601-4937
(321) 445-5450
Mailing address
PO BOX 692631, ORLANDO, FL 32869-2631
(407) 601-4937
(321) 445-5450
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
326762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002869600
—
FL
Enumeration date
06/10/2009
Last updated
12/28/2011
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