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

Functional Spine Chiropractic & Rehab LLC

Organization Chiropractor · NPI 1205792405

Functional Spine Chiropractic & Rehab LLC is a Chiropractor in Tampa, Florida. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7825 N Dale Mabry Hwy Ste 104
Tampa, FL 33614-3207
Phone: (813) 709-8363
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X
Rehabilitation Chiropractor Taxonomy 111NR0400X

Record details

NPI number1205792405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victor Matias — Owner · (813) 709-8363
NPI enumeratedDecember 31, 2025
Last updated in NPPESDecember 31, 2025
Certification dateDecember 31, 2025
Mailing address7825 N Dale Mabry Hwy Ste 104, Tampa, FL 33614-3207

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