Organization
JOHN AXLEY M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN AXLEY (M.D.)
(850) 477-3015
Entity
Organization
Contact information
Practice address
4400 BAYOU BLVD STE 43, PENSACOLA, FL 32503-1910
(850) 477-3015
(850) 477-3026
Mailing address
4400 BAYOU BLVD STE 43, PENSACOLA, FL 32503-1910
(850) 477-3015
(850) 477-3026
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME20237
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529918810
—
AL
01
—
DE7927
RRB PTAN
—
Enumeration date
11/16/2006
Last updated
03/20/2013
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