Revive Medical Spa LLC
NPI #1326436049 in St Petersburg, Florida
Provider Information
- NPI Number
- 1326436049
- Entity Type
- Organization
- Organization Name
- Revive Medical Spa LLC
- Primary Specialty
- Chiropractor
- Enumeration Date
- Jan 5, 2015
- Last Updated
- Jan 5, 2015
Practice Location
- Address
- 2150 49TH ST N
- City
- St Petersburg
- State
- Florida
- ZIP Code
- 33710-5237
- Phone
- (727) 321-6130
Authorized Official
- Name
- DR. CHRISTOPHER BRETZ, D.C.
- Title
- PRACTICE OWNER & PROVIDER
- Phone
- (941) 921-2225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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