Organization · Type 2 NPI
Revolution Chiropractic LLC
Chiropractor · Jacksonville, FL
NPI number
1124576566
Active
Practice location
14866 Old St Augustine Road, Suite 113
Jacksonville, FL 32258
Mailing address
313 Summer Springs Ct
Jacksonville, FL 32225-4186
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 11821 (FL) |
Chiropractor: 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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About NPI 1124576566
Revolution Chiropractic LLC's National Provider Identifier is 1124576566, issued on Sep 14, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 14, 2016.