Revamp Performance and Recovery, LLC
NPI #1326818386 in Jacksonville, Florida
Provider Information
- NPI Number
- 1326818386
- Entity Type
- Organization
- Organization Name
- Revamp Performance and Recovery, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jan 2, 2024
- Last Updated
- Feb 21, 2024
Practice Location
- Address
- 12220 ATLANTIC BLVD STE 130
- Address 2
- #1285
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32225-5826
- Phone
- (904) 444-7610
Authorized Official
- Name
- MR. ERIC LEQUAN MOORE JR.
- Title
- OWNER
- Phone
- (904) 701-3310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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