Individual
MAC AXELROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 667-0444
(407) 667-4338
Mailing address
851 TRAFALGAR CT, STE 200E, MAITLAND, FL 32751-7420
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME81375
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260493100
—
FL
01
—
51918
BCBS
FL
Enumeration date
09/29/2005
Last updated
05/28/2020
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