Organization
AXEL HEALTH PRIMARY CARE LLC
Active
Other names
LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SUMEET SHETTY MD (CEO)
(239) 208-6648
Entity
Organization
Contact information
Practice address
6811 PORTO FINO CIR, FORT MYERS, FL 33912-4354
(239) 208-6648
(239) 931-0221
Mailing address
6811 PORTO FINO CIR, FORT MYERS, FL 33912-4354
(239) 208-6648
(239) 931-0221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME91067
MEDICAL LICENSE
—
Enumeration date
03/26/2021
Last updated
08/10/2023
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