Provider Demographics
NPI:1518018985
Name:SPINAL HEALTH INC
Entity Type:Organization
Organization Name:SPINAL HEALTH INC
Other - Org Name:SPINAL HEALTH CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:STANGANELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:727-531-4444
Mailing Address - Street 1:P.O. BOX 6175
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33758
Mailing Address - Country:US
Mailing Address - Phone:727-531-4444
Mailing Address - Fax:727-530-7195
Practice Address - Street 1:1000 BELCHER RD S
Practice Address - Street 2:UNIT A-5
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-3307
Practice Address - Country:US
Practice Address - Phone:727-531-4444
Practice Address - Fax:727-530-7195
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:--
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-14
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8939111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL382165000Medicaid
U6132Medicare PIN
V06787Medicare UPIN
FLAD074Medicare PIN