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

Ageless Dynamics LLC Hydrate and Renew IV Solutions

Organization Acute Care Nurse Practitioner · NPI 1467249219

Ageless Dynamics LLC Hydrate and Renew IV Solutions is an Acute Care Nurse Practitioner in Estero, Florida. Registered with an NPI since 2025.

In the registry since
2025
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

19757 The Place Blvd
Estero, FL 33928-6608
Phone: (425) 971-0990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X

Record details

NPI number1467249219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Axford — Owner / Practitioner · (425) 971-0990
Other names Ageless Dynamics Llc
NPI enumeratedApril 24, 2025
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025
Mailing address19757 The Place Blvd, Estero, FL 33928-6608

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