AXEN SEPA 2 INC

MIAMI, FL
NPI1932890761
Entity TypeOrganization
Authorized ContactMICHAEL SELLINGER
CFO
917-514-7007
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
Enumeration Date2023-05-15
Last Update Date2023-05-15
Business Address
AXEN SEPA 2 INC
10621 N KENDALL DR STE 211
MIAMI, FL 33176-1530
Phone number: 305-596-4288
Mailing Address
AXEN SEPA 2 INC
2103 CORAL WAY 2ND FLOOR
MIAMI, FL 33145
Phone number: 917-514-7007