Organization · Type 2 NPI
Revive PBG LLC
Chiropractor · Palm Beach Gardens, FL
NPI number
1417522186
Active
Practice location
5320 Donald Ross Rd Ste 125
Palm Beach Gardens, FL 33418-7296
Fax (772) 413-7025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
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 1417522186
Revive PBG LLC's National Provider Identifier is 1417522186, issued on May 25, 2021. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Palm Beach Gardens, FL. The record was last updated on May 25, 2021.