# ADVANCED SPINE AND SPECIALISTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADVANCED SPINE AND SPECIALISTS LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1881434421
- **Legal business name:** ADVANCED SPINE AND SPECIALISTS LLC
- **Authorized official:** THEOPHILOS SKANDALIARIS (DC)
- **Authorized official phone:** (813) 524-7246

## Contact information

- **Practice address:** 1046 W BUSCH BLVD STE 100B, TAMPA, FL 33612-7714
- **Practice address phone:** (813) 524-7246
- **Mailing address:** 750 N BELCHER RD, CLEARWATER, FL 33765-2138
- **Mailing address phone:** (813) 524-7246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 05/30/2024
- **Last updated:** 08/12/2026