Organization
AXXESS THERAPY PLLC
Active
Organization
AXXESS THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLETTE BURLESON (PRACTICE MANAGER)
(352) 694-6331
Entity
Organization
Contact information
Practice address
6160 SW HIGHWAY 200, UNIT 119, OCALA, FL 34476-8307
(352) 694-6331
(352) 694-6338
Mailing address
6160 SW HIGHWAY 200, UNIT 119, OCALA, FL 34476-8307
(352) 694-6331
(352) 694-6338
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME74255
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME107880
FL
Other
Enumeration date
09/05/2014
Last updated
09/05/2014
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