Functional Health Care Group PLLC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

CH12142 Issued in FL

Legal business name

FUNCTIONAL HEALTH CARE GROUP PLLC

Practice address

730 S Sterling Ave Ste 214
Tampa, FL 33609-4542

Phone

(718) 813-9299

Fax

(813) 658-6215

NPI assigned

Apr 5, 2018

Last updated

Nov 18, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Matthew Craig Lewis, DCNPI 1831396951

Title

Owner

Phone

(718) 813-9299

Specialties & licenses 1

Addresses

Other names 1

• Functional Health Care Group PLLC Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karalynne Blochberger, MD

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1992239909

  Single Specialty

  Medicare reassignment NPD
• Matthew Craig Lewis, D.C.

  • Chiropractor
  • Plainview, NY
  • NPI 1831396951
  NPD Authorized official
• Cara N Palermo, APRN

  • Family Nurse Practitioner
  • Clearwater, FL
  • NPI 1740816438
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1710483847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 S STERLING AVE STE 214",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094542",
            "telephone_number": "718-813-9299",
            "fax_number": "813-658-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 S STERLING AVE STE 214",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094542",
            "telephone_number": "718-813-9299",
            "fax_number": "813-658-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL HEALTH CARE GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-813-9299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "CH12142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Functional Health Care Group PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aglay Fumero
• Yaneisy Fumero, ARNP
• Kimberly Laine Funaro, M.D.
• Functiona; Physical Fitness
• Functional and Interventional Gastroenterology PLLC
• Functional Spine Chiropractic & Rehab LLC
• Sarahann Fundis
• Loira Fundora Benitez
• Mariacarla Fundora
• Virginia Alfonso Fundora, PH.D.

• Nutrition Chiropractor in Tampa, FL
• Providers in Tampa, FL by specialty
• Nutrition Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.