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Organization

ROOT CAUSE MEDICAL CLINIC INC

Active
Other names
Axe Holistic Medicine, Root Cause Medical Clinic Inc
Organization subpart
No

Provider details

NPI number
Authorized official
JORDAN MATTHEW AXE (OWNER/PRESIDENT)
(937) 216-9048
Entity
Organization

Contact information

Practice address
15049 BRUCE B DOWNS BLVD, TAMPA, FL 33647-1388
(937) 216-9048
(844) 828-3997
Mailing address
15049 BRUCE B DOWNS BLVD, TAMPA, FL 33647-1388
(937) 216-9048
(844) 828-3997

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
207L00000X
Anesthesiology Physician
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
208D00000X
General Practice Physician
Primary
225100000X
Physical Therapist
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LG0600X
Gerontology Nurse Practitioner

Other

Enumeration date
07/04/2016
Last updated
08/06/2025
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