Entity Name: | AXEL REHABILITATION SERVICES LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 25 Jan 2023 (2 years ago) |
Document Number: | L23000047842 |
FEI/EIN Number | 35-2799442 |
Address: | 4820 GRIFFIN RD., FORT MYERS, FL 33908 |
Mail Address: | 4820 GRIFFIN RD., FORT MYERS, FL 33908 |
ZIP code: | 33908 |
County: | Lee |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1851080972 | 2023-05-04 | 2023-05-04 | 4820 GRIFFIN BLVD, FORT MYERS, FL, 339082016, US | 4755 SUMMERLIN RD STE 8, FORT MYERS, FL, 339191073, US | |||||||||||||||||||
|
Phone | +1 239-208-6648 |
Fax | 8554623008 |
Authorized person
Name | JESSELL LLORENTE |
Role | DIRECTOR OF CREDENTIALING |
Phone | 2392086648 |
Taxonomy
Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
Is Primary | Yes |
Taxonomy Code | 225400000X - Rehabilitation Practitioner |
Is Primary | No |
Name | Role |
---|---|
AXEL HEALTH LLC | Agent |
Name | Role |
---|---|
AXEL HEALTH LLC | Manager |
Name | Date |
---|---|
ANNUAL REPORT | 2025-02-03 |
ANNUAL REPORT | 2024-01-30 |
Florida Limited Liability | 2023-01-25 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State