Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ageless Dynamics , LLC

Organization Primary Care Clinic/Center · NPI 1922777390

Ageless Dynamics , LLC is a Primary Care Clinic/Center in Gainesville, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9200 NW 39th Ave Ste 130-3170
Gainesville, FL 32606-7331
Phone: (352) 201-3701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1922777390
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Axford — Owner · (425) 971-0990
NPI enumeratedSeptember 9, 2021
Last updated in NPPESOctober 6, 2021
Certification dateOctober 6, 2021
Mailing address9200 Nw 39th Ave Ste 130-3170, Gainesville, FL 32606-7331

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