REVIVE MEDICAL CENTER LLC NPI 1811291461

NPI Information

REVIVE MEDICAL CENTER LLC is a chiropractor in Tampa, 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 MEDICAL CENTER LLC NPI is 1811291461. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12185 W LINEBAUGH AVE
TAMPA, FL
ZIP 33626-732
Phone: (813) 749-7582

The provider's authorized official is William Nicholas Rivera .
The authorized official title is Owner and has the following contact phone number (813) 749-7582.

The enumeration date for this NPI number is 12/22/2010 and was last updated on 12/22/2010.

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:

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