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REVIVE CHIROPRACTIC & WELLNESS LLC NPI 1790042943


NPI Information

NPI: 1790042943
Provider Name: REVIVE CHIROPRACTIC & WELLNESS, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3546 SAINT JOHNS BLUFF RD S UNIT 204
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 996-2243
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REVIVE CHIROPRACTIC & WELLNESS, LLC is a chiropractor in Jacksonville, FL. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. REVIVE CHIROPRACTIC & WELLNESS, LLC NPI is 1790042943. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3546 SAINT JOHNS BLUFF RD S UNIT 204
JACKSONVILLE, FL
ZIP 32224-716
Phone: (904) 996-2243

The provider's authorized official is Zachary W Stalnaker .
The authorized official title is Mgrm/owner and has the following contact phone number (904) 996-2243.

The enumeration date for this NPI number is 4/12/2012 and was last updated on 6/19/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorCH3311FLORIDANo
2111N00000XChiropractorCH9924FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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