Organization
ADVANCED SPINE AND SPECIALISTS LLC
Active
Parent organization
ADVANCED SPINE AND SPECIALISTS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED SPINE AND SPECIALISTS LLC
Authorized official
THEOPHILOS SKANDALIARIS (DC)
(813) 524-7246
Entity
Organization
Contact information
Practice address
1046 W BUSCH BLVD STE 100B, TAMPA, FL 33612-7714
(813) 524-7246
Mailing address
1046 W BUSCH BLVD STE 100B, TAMPA, FL 33612-7714
(813) 524-7246
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
05/30/2024
Last updated
03/01/2026
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