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Organization
REVIVE MANAGEMENT COMPANY LLC
Active
Organization
REVIVE MANAGEMENT COMPANY LLC
Active
Other names
Boca Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA PERRY (PRESIDENT)
(702) 327-2307
Entity
Organization
Contact information
Practice address
9250 GLADES RD STE 111, BOCA RATON, FL 33434-3958
(561) 479-2880
Mailing address
9250 GLADES RD STE 111, BOCA RATON, FL 33434-3958
(561) 479-2880
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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