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General NPI Number Information
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NPI Number | 1891252201
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Entity Type | Individual
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Provider Name | AXEL MANUEL BAEZ-LUGO MD
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Gender | Male
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Dates
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Enumeration Date | 02/22/2019
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 3309 SW 34TH CIRCLE BUILDING 200
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City | OCALA
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State | FL
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Zip | 34474
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Country | US
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Telephone | 352-547-1460
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Fax | 352-547-1461
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Provider Business Mailing Address
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Address Line | 4881 NW 8TH AVE SUITE 2
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City | GAINESVILLE
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State | FL
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Zip | 32605-4582
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Country | US
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Telephone | 787-840-2575
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 168392
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME168392
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License Number State | FL
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