Organization · Type 2 NPI
Revive Chiropractic & Wellness, LLC
Chiropractor · Jacksonville, FL
NPI number
1790042943
Active
Practice location
3546 Saint Johns Bluff Rd S Unit 204
Jacksonville, FL 32224-2716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH9924 (FL) |
| Chiropractor | 111N00000X | CH3311 (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.
3 other providers at this address
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About NPI 1790042943
Revive Chiropractic & Wellness, LLC's National Provider Identifier is 1790042943, issued on Apr 12, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 10, 2025.