Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bayside Sport & Spine PLLC

Organization Chiropractor · NPI 1679374110

Bayside Sport & Spine PLLC is a Chiropractor in St Petersburg, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5415 4th St N
St Petersburg, FL 33703-2249
Phone: (727) 521-4244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X

Record details

NPI number1679374110
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ross Revella — Owner/Chiropractor · (330) 261-3802
Other names Sea Change Chiropractic
NPI enumeratedMarch 21, 2025
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025
Mailing address5415 4th St N, St Petersburg, FL 33703-2249

Other providers in St Petersburg