Organization
THE FOREVER YOUNG LLC
Active
Organization
THE FOREVER YOUNG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI K AXFORD NP (NURSE PRACTITIONER)
(425) 971-0990
Entity
Organization
Contact information
Practice address
19727 THE PLACE BLVD, ESTERO, FL 33928
(239) 220-8829
Mailing address
19727 THE PLACE BLVD, ESTERO, FL 33928
(239) 220-8829
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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