Individual
AVA REVERENDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2502 QUINCY AVE, FORT PIERCE, FL 34947-4766
(772) 302-9580
Mailing address
7408 GEORGES RD, FORT PIERCE, FL 34951-1939
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH15810
FL
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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