Healthcare Provider Details

I. General information

NPI: 1356253306
Provider Name (Legal Business Name): FUNCTIONAL SPINE CHIROPRACTIC & REHAB OCALA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 SW COLLEGE RD STE 16
OCALA FL
34474-4447
US

IV. Provider business mailing address

2880 SW COLLEGE RD SUITE 16
OCALA FL
34474
US

V. Phone/Fax

Practice location:
  • Phone: 352-720-6257
  • Fax: 813-709-7039
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. VICTOR MATIAS
Title or Position: CO-FOUNDER
Credential: DC
Phone: 352-720-6257