Root Cause Clinic, Incorporated | |
15043 Bruce B Downs Blvd, Tampa, FL 33647-1388 | |
(937) 216-9048 | |
Not Available |
Full Name | Root Cause Clinic, Incorporated |
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Type | Facility |
Speciality | Chiropractor |
Location | 15043 Bruce B Downs Blvd, Tampa, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1669826574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CH 11262 (Florida) | Primary |
Provider Name | Jordan M Axe |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1194116368 PECOS PAC ID: 6507147774 Enrollment ID: I20161229001923 |
Mailing Address | Practice Location Address |
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Root Cause Clinic, Incorporated 5947 Old Berkley Rd, Auburndale, FL 33823-8302 Ph: (937) 216-9048 | Root Cause Clinic, Incorporated 15043 Bruce B Downs Blvd, Tampa, FL 33647-1388 Ph: (937) 216-9048 |
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