Organization
JM. JZ ENTERPRISES
Active
Other names
RevitaSpine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONN A MCCLELLAN DC (OWNER)
(561) 602-2888
Entity
Organization
Contact information
Practice address
210 JUPITER LAKES BLVD STE 5205, JUPITER, FL 33458
(561) 633-4142
(561) 803-8708
Mailing address
8439 E GARDEN OAKS CIR, PALM BEACH GARDENS, FL 33410-6369
(561) 768-5699
(561) 803-8708
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
CH9815
FL
Other
Enumeration date
08/18/2017
Last updated
07/12/2018
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