Organization Active NPI

Axle Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Miami Lakes, FL
National Provider Identifier
1083325740
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AXLE MEDICAL SUPPLY LLC
Practice address
5979 NW 151St St Ste 232
Miami Lakes, FL 33014-2427
Phone
(305) 456-4139
NPI assigned
Dec 13, 2022
Last updated
Mar 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mario Gonzalez
Title
Registered Agent
Phone
(786) 487-5817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5979 NW 151St St Ste 232
Miami Lakes, FL 33014-2427

Mailing address

5979 NW 151St St Ste 232
Miami Lakes, FL 33014-2427
Phone (786) 487-5817

National Provider Directory

National Provider Directory

Locations

5979 NW 151st St
Ste 232
Miami Lakes, FL 33014
Phone (305) 456-4139

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1083325740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 NW 151ST ST STE 232",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142427",
            "telephone_number": "786-487-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 NW 151ST ST STE 232",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142427",
            "telephone_number": "305-456-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXLE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "786-487-5817"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.