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LLC
NPI 1700463643
Internal Medicine in Fort Myers, FL

Active since March 26, 2021CLIA 10D2227137 · Waiver
6811 PORTO FINO CIR, FORT MYERS, FL 33912(239) 208-6648(239) 931-0221 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2023, May 4, 2023, Mar 26, 2021 (3 updates tracked since 2021).

About Llc NPPES

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

LLC (NPI 1700463643) is a healthcare organization registered as an internal medicine in Fort Myers, Florida and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Sumeet Shetty, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700463643
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameAXEL HEALTH PRIMARY CARE LLC
Location Address6811 PORTO FINO CIRFort Myers, FL 33912-4354
Mailing Address6811 Porto Fino CirFort Myers, FL 33912-4354 · (239) 208-6648 · Fax (239) 931-0221
Phone(239) 208-6648
Fax(239) 931-0221
Organization SubpartNo
Authorized OfficialSumeet ShettyCeo · (239) 208-6648
Enumeration DateMarch 26, 2021
Last NPPES UpdateAugust 10, 20233 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1700463643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6811 PORTO FINO CIR, Fort Myers, FL 33912
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Other Names 1

Other NameLlc

Other Identifiers 1

OtherME91067Medical License

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2227137

Axel Health Primary Care LLC · Fort Myers, FL
Active · expires Jun 7, 2027
CLIA Number10D2227137
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorShetty Sumeet
Laboratory Phone(239) 313-2901
Laboratory LocationAxel Health Primary Care LLC6811 Portofino Circle, Fort Myers, FL 33912
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

VICENTE PEREZ APRN
Nurse Practitioner (Family)
6811 PORTO FINO CIR
FORT MYERS, FL 33912
Lee County (239) 208-6648
PRECISION PAIN MEDICAL CENTER, LLC
Physical Medicine & Rehabilitation (Pain Medicine)
6811 PORTO FINO CIR
FORT MYERS, FL 33912
Lee County (239) 431-4625
DR. RAHUL KUMAR CHALLAPALLI MD
Internal Medicine (Pulmonary Disease)
6811 PORTO FINO CIR
FORT MYERS, FL 33912
Lee County (239) 208-6648
INSIGHT PSYCHIATRY, LLC
Psychiatry & Neurology (Psychiatry)
6811 PORTO FINO CIR
FORT MYERS, FL 33912
Lee County (239) 766-5693
AXEL MEDICAL GROUP LLC
Internal Medicine (Pulmonary Disease)
6811 PORTO FINO CIR
FORT MYERS, FL 33912
Lee County (239) 208-6648
DR. WILLIAM SCOTT WITTENBORN M.D.
Plastic Surgery
6811 PORTO FINO CIR
FORT MYERS, FL 33912
Lee County (239) 561-2313

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 Axel Health Primary Care LLC's NPI number?

The NPI number for Axel Health Primary Care LLC is 1700463643. It was assigned to this organization in the NPPES registry on March 26, 2021. The provider is also known as LLC.

Where is Axel Health Primary Care LLC located?

Axel Health Primary Care LLC is located at 6811 Porto Fino Cir, Fort Myers, FL 33912. The listed phone number is (239) 208-6648.

What is Axel Health Primary Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Axel Health Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2227137) is associated with this NPI, valid through June 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Axel Health Primary Care LLC was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.