Organization
ROOT CAUSE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN AXE (CEO)
(937) 216-9044
Entity
Organization
Contact information
Practice address
15049 BRUCE B DOWNS BLVD, TAMPA, FL 33647-1388
(813) 563-7668
Mailing address
15049 BRUCE B DOWNS BLVD, TAMPA, FL 33647-1388
(813) 563-7668
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
02/07/2026
Last updated
02/09/2026
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