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AGELESS DYNAMICS LLC HYDRATE AND RENEW IV SOLUTIONS
NPI 1467249219
Nurse Practitioner - Acute Care in Estero, FL

Active since April 24, 2025
19757 THE PLACE BLVD, ESTERO, FL 33928(425) 971-0990 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ageless Dynamics Llc Hydrate And Renew Iv Solutions NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGELESS DYNAMICS LLC HYDRATE AND RENEW IV SOLUTIONS (NPI 1467249219), doing business as Ageless Dynamics Llc, is a healthcare organization registered as an acute care in Estero, Florida and active in the NPI registry since April 2025. The organization lists Lori Khristine Axford, Owner / Practitioner, as its authorized official.

NPPES Registry Identity

NPI1467249219
Entity TypeOrganization
Primary Taxonomy363LA2100X
Legal Business NameAGELESS DYNAMICS LLC HYDRATE AND RENEW IV SOLUTIONS
Location Address19757 THE PLACE BLVDEstero, FL 33928-6608
Mailing Address19757 The Place BlvdEstero, FL 33928-6608 · (425) 971-0990
Phone(425) 971-0990
Organization SubpartNo
Authorized OfficialLori Khristine AxfordOwner / Practitioner · (425) 971-0990
Enumeration DateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1467249219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
19757 THE PLACE BLVD, Estero, FL 33928
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Other Names 1

Doing Business AsAgeless Dynamics Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LORI KHRISTINE AXFORD NP
Nurse Practitioner (Acute Care)
19757 THE PLACE BLVD
ESTERO, FL 33928
Lee County (425) 971-0900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ageless Dynamics LLC Hydrate And Renew IV Solutions's NPI number?

The NPI number for Ageless Dynamics LLC Hydrate And Renew IV Solutions is 1467249219. It was assigned to this organization in the NPPES registry on April 24, 2025. The provider is doing business as Ageless Dynamics LLC.

Where is Ageless Dynamics LLC Hydrate And Renew IV Solutions located?

Ageless Dynamics LLC Hydrate And Renew IV Solutions is located at 19757 The Place Blvd, Estero, FL 33928. The listed phone number is (425) 971-0990.

What is Ageless Dynamics LLC Hydrate And Renew IV Solutions's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Ageless Dynamics LLC Hydrate And Renew IV Solutions was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.