Root Cause Medical Clinic INC

NPI #1962854802 in Tampa, Florida

Provider Information

NPI Number: 1962854802
Entity Type: Organization
Organization Name: Root Cause Medical Clinic INC
Primary Specialty: General Practice
Enumeration Date: Jul 4, 2016
Last Updated: Aug 6, 2025

Practice Location

Address: 15049 BRUCE B DOWNS BLVD
City: Tampa
State: Florida
ZIP Code: 33647-1388
Phone: (937) 216-9048

Authorized Official

Name: JORDAN MATTHEW AXE
Title: OWNER/PRESIDENT
Phone: (937) 216-9048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X
Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism	207RE0101X
Chiropractor	111N00000X
Physical Therapist	225100000X
Physician Assistant	363A00000X
Nurse Practitioner - Adult Health — Adult Health	363LA2200X
Nurse Practitioner	363L00000X
Nurse Practitioner - Family — Family	363LF0000X
Nurse Practitioner - Gerontology — Gerontology	363LG0600X
General Practice	208D00000X	Primary

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