Ageless Dynamics , LLC

NPI #1922777390 in Gainesville, Florida

Provider Information

NPI Number
1922777390
Entity Type
Organization
Organization Name
Ageless Dynamics , LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Sep 9, 2021
Last Updated
Oct 6, 2021

Practice Location

Address
9200 NW 39TH AVE STE 130-3170
State
Florida
ZIP Code
32606-7331
Phone
(352) 201-3701

Authorized Official

Name
LORI KHRISTINE AXFORD, NURSE PRACTITIONER
Title
OWNER
Phone
(425) 971-0990

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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