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AXEN HEALTH, INC. - Florida Company Profile

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Company Details

Entity Name: AXEN HEALTH, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 Jul 2022 (3 years ago)
Document Number: P22000058425
FEI/EIN Number 920255783
Address: 2103 CORAL WAY, SUITE 200, MIAMI, FL, 33145, US
Mail Address: 2103 CORAL WAY, SUITE 200, MIAMI, FL, 33145, US
ZIP code: 33145
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
De Jesus Ivan D Chief Executive Officer 2103 Coral Way, Coral Gables, FL, 33145
Sellinger Michael S Chief Financial Officer 2103 Coral Way, Coral Gables, FL, 33145
BURDETTE WILLIAM R Agent 2103 CORAL WAY, MIAMI, FL, 33145

National Provider Identifier

NPI Number:
1568153310
Certification Date:
2023-05-15

Authorized Person:

Name:
MR. MICHAEL SELLINGER
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
302F00000X - Exclusive Provider Organization
Is Primary:
Yes

Contacts:

Fax:
7867033571

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-25
Domestic Profit 2022-07-21

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Date of last update: 02 Aug 2025

Sources: Florida Department of State