Organization
AXIOMHEALTH MANAGEMENT LLC
Active
Other names
Axiom Rehabilitation, EdemaCare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUSTIN PATRIC MOURA (REGISTERED AGENT)
(407) 388-8866
Entity
Organization
Contact information
Practice address
1180 SPRING CENTRE SOUTH BLVD STE 225, ALTAMONTE SPRINGS, FL 32714-1991
(407) 494-0644
(407) 494-0644
Mailing address
1180 SPRING CENTRE SOUTH BLVD STE 225, ALTAMONTE SPRINGS, FL 32714-1991
(888) 820-5158
(800) 688-2049
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
213E00000X
Podiatrist
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019968100
—
FL
05
—
128523400
—
FL
Enumeration date
09/22/2016
Last updated
04/14/2026
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