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Revive Medical Spa Llc
Chiropractor in St Petersburg, Florida
NPI 1326436049

Revive Medical Spa Llc is a Chiropractor based in Sarasota, FL. Revive Medical Spa Llc practices in St Petersburg, FL. The NPI Number for Revive Medical Spa Llc is 1326436049 and holds a License No. (Florida).

The current practice location address for Revive Medical Spa Llc is 2150 49Th St N, St Petersburg, FL and can be reached out via phone at 727-321-6130.

Location: 2150 49Th St N, St Petersburg, FL, 34238-5720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326436049
Provider Name
Revive Medical Spa Llc
Credential
Provider Entity Type
Organization
Address
2150 49Th St N, St Petersburg, FL, 34238-5720
Phone Number
727-321-6130
Fax Number
Provider Enumeration Date
01/05/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AV987A 01 FL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
2150 49Th St N
City
St Petersburg
State
Florida
Zip
33710-5237
Phone Number
727-321-6130
Fax Number
person
Provider Business Mailing Address Details
Address
2150 49Th St N
City
St Petersburg
State
Florida
Zip
33710-5237
Phone Number
727-321-6130
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
(Florida)
Definition
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.
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