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Organization
REVIVE CHIROPRACTIC LLC
Active
Organization
REVIVE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFONSO CHIE DC (DOCTOR/OWNER)
(754) 779-4527
Entity
Organization
Contact information
Practice address
18249 PINES BLVD, PEMBROKE PINES, FL 33029-1418
(754) 779-4527
Mailing address
18249 PINES BLVD, PEMBROKE PINES, FL 33029-1418
(754) 779-4527
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
07/12/2018
Last updated
08/07/2019
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