Organization
BAYSIDE SPORT & SPINE PLLC
Active
Other names
Sea Change Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS J REVELLA DC (OWNER/CHIROPRACTOR)
(330) 261-3802
Entity
Organization
Contact information
Practice address
5415 4TH ST N, ST PETERSBURG, FL 33703-2249
(727) 521-4244
Mailing address
5415 4TH ST N, ST PETERSBURG, FL 33703-2249
(727) 521-4244
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
07/02/2025
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