| Axiom Medical Clinic Llc | |
|
9507 Anderson Rd Tampa FL 33634-1252 | |
| (813) 319-1330 | |
| (813) 319-1340 |
| Full Name | Axiom Medical Clinic Llc |
|---|---|
| Speciality | Physical Therapist |
| Location | 9507 Anderson Rd, Tampa, Florida |
| Authorized Official Name and Position | Wendy Newman (COMPTROLLER) |
| Authorized Official Contact | 8152279900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Axiom Medical Clinic Llc 7177 Crimson Ridge Dr Suite 14 Rockford IL 61107-6208 Ph: (815) 227-9900 | Axiom Medical Clinic Llc 9507 Anderson Rd Tampa FL 33634-1252 Ph: (813) 319-1330 |
| NPI Number | 1750335329 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750335329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME 93347 (Florida) | Primary |
| 111N00000X | Chiropractor | CH 8788 (Florida) | Primary |
| 225100000X | Physical Therapist | PT20245 (Florida) | Primary |
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