NPI 1013475409

Revive Management Company LLC

Organisation Chiropractor Boca Raton, FL

Practice location

Address: 9250 Glades Rd STE 111, Boca Raton, FL 33434-3958
Phone: (561) 479-2880

Authorised official

Name: Christina Perry
Title: President
Phone: (702) 327-2307

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X

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Registry record

NPI: 1013475409
Entity type: Organization
NPI issued: 5 Mar 2019
Record last updated: 5 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.