Healthcare Provider Details

I. General information

NPI: 1508777574
Provider Name (Legal Business Name): ELEMENT SPINE AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2445 TAMPA RD SUITE H, ROOM B
PALM HARBOR FL
34683
US

IV. Provider business mailing address

190 ASHLEY LN
OLDSMAR FL
34677-2379
US

V. Phone/Fax

Practice location:
  • Phone: 727-776-1480
  • Fax:
Mailing address:
  • Phone: 727-776-1480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AARON DAVID SAKEVICH
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: DC, DIANM, CSCS
Phone: 727-776-1480