Individual
ELLEN CAROL AXINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1005 JOE DIMAGGIO DRIVE, 4 CENTRAL, HOLLYWOOD, FL 33021
(954) 265-1482
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1360012
FL
Other
Enumeration date
08/23/2006
Last updated
03/17/2021
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