Healthcare Provider Details

I. General information

NPI: 1821923947
Provider Name (Legal Business Name): INNATA SPINAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 TECH BLVD STE 134
TAMPA FL
33619-7845
US

IV. Provider business mailing address

10887 CALADESI AVE APT 302
TAMPA FL
33610-9773
US

V. Phone/Fax

Practice location:
  • Phone: 813-203-3262
  • Fax:
Mailing address:
  • Phone: 787-484-0601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CRISTAL ANELIS VARGAS SANTIAGO
Title or Position: DOCTOR
Credential: DC
Phone: 787-484-0601