Healthcare Provider Details

I. General information

NPI: 1538024047
Provider Name (Legal Business Name): AXIS MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 LEE RD STE 304
WINTER PARK FL
32789-2101
US

IV. Provider business mailing address

1801 LEE RD STE 304
WINTER PARK FL
32789-2101
US

V. Phone/Fax

Practice location:
  • Phone: 321-765-4373
  • Fax: 407-542-0666
Mailing address:
  • Phone: 321-765-4373
  • Fax: 407-542-0666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID STUART ROSEN
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 321-765-4373