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AXEL MEDICAL GROUP LLC - Florida Company Profile

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Company Details

Entity Name: AXEL MEDICAL GROUP LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 12 Apr 2023 (2 years ago)
Document Number: L23000182635
FEI/EIN Number 92-3556187
Address: 6811 PORTO FINO CIRCLE, FORT MYERS, FL, 33912, US
ZIP code: 33912
City: Fort Myers
County: Lee
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SHETTY SUMEET Manager 4820 GRIFFIN BLVD, FORT MYERS, FL, 33908
SHETTY SUMEET Agent 4820 GRIFFIN BLVD, FORT MYERS, FL, 33908

National Provider Identifier

NPI Number:
1467140228
Certification Date:
2023-09-19

Authorized Person:

Name:
JESSELL LLORENTE
Role:
DIRECTOR OF CREDENTIALING
Phone:

Taxonomy:

Selected Taxonomy:
207RE0101X - Endocrinology, Diabetes & Metabolism Physician
Is Primary:
No
Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
Yes

Contacts:

Fax:
8554623008

Documents

Name Date
ANNUAL REPORT 2024-04-04
Florida Limited Liability 2023-04-12

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Date of last update: 02 Aug 2025

Sources: Florida Department of State