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Organization
REVIVE CHIROPRACTIC & MED SPA, LLC
Active
Organization
REVIVE CHIROPRACTIC & MED SPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK RICHARDS D.C. (PRESIDENT)
(561) 715-7956
Entity
Organization
Contact information
Practice address
494 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33441-1604
(561) 715-7956
Mailing address
494 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33441-1604
(561) 715-7956
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH8257
FL
Other
Enumeration date
08/21/2015
Last updated
10/02/2015
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