Organization · Type 2 NPI

Root Cause Medical Clinic Inc

General Practice Physician · Tampa, FL

NPI number 1962854802 Active

Practice location

15049 Bruce B Downs Blvd
Tampa, FL 33647-1388

Fax (844) 828-3997

Specialties and licenses

Taxonomy	Code	License
Chiropractor	111N00000X	None listed
Anesthesiology Physician	207L00000X	None listed
Endocrinology, Diabetes & Metabolism Physician	207RE0101X	None listed
General Practice Physician Primary	208D00000X	None listed
Physical Therapist	225100000X	None listed
Physician Assistant	363A00000X	None listed
Nurse Practitioner	363L00000X	None listed
Adult Health Nurse Practitioner	363LA2200X	None listed
Family Nurse Practitioner	363LF0000X	None listed
Gerontology Nurse Practitioner	363LG0600X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

6 other providers at this address

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NPI record

NPI: 1962854802
Entity type: Organization (Type 2)
Issued: Jul 4, 2016
Last updated: Aug 6, 2025
Status: Active

Other names

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Axe Holistic Medicine · doing business as
Root Cause Medical Clinic Inc · former legal business name

Authorized official

Jordan Matthew Axe
Owner/president
(937) 216-9048

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962854802

Root Cause Medical Clinic Inc's National Provider Identifier is 1962854802, issued on Jul 4, 2016. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Tampa, FL. The record was last updated on Aug 6, 2025.