Revive Chiropractic LLC

NPI #1255817342 in Pembroke Pines, Florida

Provider Information

NPI Number: 1255817342
Entity Type: Organization
Organization Name: Revive Chiropractic LLC
Primary Specialty: Chiropractor
Enumeration Date: Jul 12, 2018
Last Updated: Aug 7, 2019

Practice Location

Address: 18249 PINES BLVD
City: Pembroke Pines
State: Florida
ZIP Code: 33029-1418
Phone: (754) 779-4527

Authorized Official

Name: ALFONSO CHIE, DC
Title: DOCTOR/OWNER
Phone: (754) 779-4527

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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