NPI 1033099775 · live from the CMS NPI Registry
Axis Multispecialty Group PLLC
Specialist in Gainesville, FL. National Provider Identifier 1033099775, active.
NPI record
| NPI | 1033099775 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Specialist 174400000X |
| Practice location | 817 Nw 56th Ter Ste B, Gainesville, FL 32605 |
| Practice phone | 352-234-3050 |
| Enumerated | September 4, 2025 |
| Last updated | November 10, 2025 |
| Authorized official | Kayla Shanks, Credentialing Specialist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | — |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | — |
| Physical Medicine & Rehabilitation | 208100000X | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — |
| Specialist primary | 174400000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.