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1932890761
AXEN SEPA 2 INC
MIAMI, FL
NPI
1932890761
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Entity Type
Organization
Authorized Contact
MICHAEL SELLINGER
CFO
917-514-7007
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2023-05-15
Last Update Date
2023-05-15
Business Address
AXEN SEPA 2 INC
10621 N KENDALL DR STE 211
MIAMI, FL 33176-1530
Phone number: 305-596-4288
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Mailing Address
AXEN SEPA 2 INC
2103 CORAL WAY 2ND FLOOR
MIAMI, FL 33145
Phone number: 917-514-7007
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