Provider Demographics
NPI:1568730265
Name:AXCESSMEDICAL RESEARCH, LLC
Entity Type:Organization
Organization Name:AXCESSMEDICAL RESEARCH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:
Authorized Official - Last Name:PUSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-429-8367
Mailing Address - Street 1:12794 FOREST HILL BLVD
Mailing Address - Street 2:SUITE 10A
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-4710
Mailing Address - Country:US
Mailing Address - Phone:561-429-8367
Mailing Address - Fax:561-429-8376
Practice Address - Street 1:12794 FOREST HILL BLVD
Practice Address - Street 2:SUITE 10A
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-4710
Practice Address - Country:US
Practice Address - Phone:561-429-8367
Practice Address - Fax:561-429-8376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-08
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch