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ROOT CAUSE MEDICAL CLINIC, LLC - Florida Company Profile

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Company Details

Entity Name: ROOT CAUSE MEDICAL CLINIC, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Apr 2025 (5 months ago)
Document Number: L25000160614
Address: 15049 BRUCE B DOWNS BLVD, TAMPA, FL, 33647, UN
Mail Address: 15049 BRUCE B DOWNS BLVD, TAMPA, FL, 33647, UN
ZIP code: 33647
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HUSSEIN FATIMA Agent 15049 BRUCE B DOWNS BLVD, TAMPA, FL, 33647
HUSSEIN FATIMA Manager 15049 BRUCE B DOWNS BLVD, TAMPA, FL, 33647

National Provider Identifier

NPI Number:
1962854802
Certification Date:
2023-02-23

Authorized Person:

Name:
JORDAN MATTHEW AXE
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
No
Selected Taxonomy:
207RE0101X - Endocrinology, Diabetes & Metabolism Physician
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No

Contacts:

Fax:
8448283997

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Date of last update: 02 Aug 2025

Sources: Florida Department of State