Organization
AXEL REHABILITATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSELL LLORENTE (DIRECTOR OF CREDENTIALING)
(239) 208-6648
Entity
Organization
Contact information
Practice address
4755 SUMMERLIN RD STE 8, FORT MYERS, FL 33919-1073
(239) 208-6648
(855) 462-3008
Mailing address
4820 GRIFFIN BLVD, FORT MYERS, FL 33908-2016
(239) 208-6648
(855) 462-3008
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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