Organization
FUNCTIONAL SPINE CHIROPRACTIC & REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR MATIAS DC (OWNER)
(813) 709-8363
Entity
Organization
Contact information
Practice address
7825 N DALE MABRY HWY STE 104, TAMPA, FL 33614-3207
(813) 709-8363
Mailing address
7825 N DALE MABRY HWY STE 104, TAMPA, FL 33614-3207
(813) 709-8363
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
111NR0400X
Rehabilitation Chiropractor
—
—
Other
Enumeration date
12/31/2025
Last updated
12/31/2025
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