| The Root Cause Clinic | |
|
15049 Bruce B Downs Blvd Tampa FL 33647-1388 | |
| (937) 216-9048 | |
| Not Available |
| Full Name | The Root Cause Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 15049 Bruce B Downs Blvd, Tampa, Florida |
| Authorized Official Name and Position | Jordan Axe (OWNER) |
| Authorized Official Contact | 9372169048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Root Cause Clinic 15049 Bruce B Downs Blvd Tampa FL 33647-1388 Ph: () - | The Root Cause Clinic 15049 Bruce B Downs Blvd Tampa FL 33647-1388 Ph: (937) 216-9048 |
| NPI Number | 1184174179 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 10/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184174179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | ARNP9255914 (Florida) | Primary |
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