# FUNCTIONAL HEALTH CARE GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Functional Health Care Group PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710483847
- **Authorized official:** DR. MATTHEW CRAIG LEWIS DC (OWNER)
- **Authorized official phone:** (718) 813-9299

## Contact information

- **Practice address:** 730 S STERLING AVE STE 214, TAMPA, FL 33609-4542
- **Practice address phone:** (718) 813-9299
- **Practice address fax:** (813) 658-6215
- **Mailing address:** 730 S STERLING AVE STE 214, TAMPA, FL 33609-4542
- **Mailing address phone:** (718) 813-9299
- **Mailing address fax:** (813) 658-6215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | CH12142 | FL | Yes |

## Other

- **Enumeration date:** 04/05/2018
- **Last updated:** 11/18/2024