# AXE HOLISTIC MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487570271
- **Authorized official:** JORDAN AXE (CEO)
- **Authorized official phone:** (937) 216-9048

## Contact information

- **Practice address:** 15049 BRUCE B DOWNS BLVD, TAMPA, FL 33647-1388
- **Practice address phone:** (813) 563-7668
- **Mailing address:** 15049 BRUCE B DOWNS BLVD, TAMPA, FL 33647-1388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/25/2026
- **Last updated:** 06/25/2026