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JOHN AXLEY M D P A NPI 1912070293


NPI Information

NPI: 1912070293
Provider Name: JOHN AXLEY M D P A
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
4400 BAYOU BLVD STE 43
PENSACOLA, FL
ZIP 32503
Phone: (850) 477-3015
Get Directions

JOHN AXLEY M D P A is a neurology psychiatry neurology in Pensacola, FL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. JOHN AXLEY M D P A NPI is 1912070293. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4400 BAYOU BLVD STE 43
PENSACOLA, FL
ZIP 32503-910
Phone: (850) 477-3015
Fax: (850) 477-3026

The provider's authorized official is John Axley .
The authorized official title is M.d. and has the following contact phone number (850) 477-3015.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 3/20/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyME20237FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DE7927OTHERRRB PTAN
2D53211MEDICARE UPINFLORIDA
3K1125MEDICARE PINFLORIDA
4529918810MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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