| Axial Medical Center, Inc | |
|
5190 Nw 167th St Ste 306 Miami Lakes FL 33014-6338 | |
| (305) 627-5557 | |
| Not Available |
| Full Name | Axial Medical Center, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5190 Nw 167th St Ste 306, Miami Lakes, Florida |
| Authorized Official Name and Position | Wendy Pelegrin (ADMINISTRATOR) |
| Authorized Official Contact | 3056275557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Axial Medical Center, Inc 5190 Nw 167th St Ste 306 Miami Lakes FL 33014-6338 Ph: (305) 627-5557 | Axial Medical Center, Inc 5190 Nw 167th St Ste 306 Miami Lakes FL 33014-6338 Ph: (305) 627-5557 |
| NPI Number | 1720540214 |
|---|---|
| Provider Enumeration Date | 04/03/2019 |
| Last Update Date | 03/11/2020 |
| Certification Date | 03/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720540214 | NPI | - | NPPES |
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