Organization
AXIOM MEDICAL CLINIC LLC
Active
Organization
AXIOM MEDICAL CLINIC LLC
Active
Other names
Axiom Neck to Back Medical Clinic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY NEWMAN (COMPTROLLER)
(815) 227-9900
Entity
Organization
Contact information
Practice address
9507 ANDERSON RD, TAMPA, FL 33634-1252
(813) 319-1330
(813) 319-1340
Mailing address
7177 CRIMSON RIDGE DR, SUITE 14, ROCKFORD, IL 61107-6208
(815) 227-9900
(815) 227-9805
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH 8788
FL
207Q00000X
Family Medicine Physician
ME 93347
FL
225100000X
Physical Therapist
Primary
PT20245
FL
Other
Enumeration date
05/19/2006
Last updated
09/11/2025
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