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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