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
- City
- Gainesville
- 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 Care — Primary Care |
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