Organization
AXZELANT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA D DOHERTY (PRESIDENT)
(813) 479-7659
Entity
Organization
Contact information
Practice address
11525 CORTEZ BLVD, SPRING HILL, FL 34613-7373
(813) 479-7659
(813) 569-2220
Mailing address
11525 CORTEZ BLVD, SPRING HILL, FL 34613-7373
(813) 479-7659
(813) 569-2220
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
CC1971409501
FL
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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