REVIVE CHIROPRACTIC & MED SPA, LLC (NPI# 1831566165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831566165 |
| Entity Type | Organization |
| Organization Name | REVIVE CHIROPRACTIC & MED SPA, LLC |
| Practice Address |
494 W Hillsboro Blvd Deerfield Beach FL 33441-1604 |
| Practice Telephone | 5617157956 |
| Mailing Telephone | 5617157956 |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-10-02 |
| Authorized Official Name | DR. MARK RICHARDS (PRESIDENT) |
| Authorized Official Telephone | 5617157956 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH8257 | FL | Chiropractic Providers |
| Street Address |
494 W HILLSBORO BLVD |
| City | DEERFIELD BEACH |
| State | FL |
| Zip Code | 33441-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808639 | Rosys Paula | Family Medicine | 1100 Us-1, Deerfield Beach, FL 33441 | 2020-10-14 |
| 1548882319 | Melrose Institute, LLC | Clinic/Center | 450 W Hillsboro Bvd, Deerfield Bch, FL 33441 | 2020-05-14 |
| 1699335398 | Stephanie Palma | Behavior Technician | 500 Fairway Dr, Suite 102 Deerfield Beach, Fl 33441, Deerfield Beach, FL 33441 | 2019-06-17 |
| 1447813043 | Cassidy Burke | Behavior Technician | Butterfly Effects LLC. 500 Fairway Dr., Suite 102, Deerfield Beach, FL 33441 | 2019-04-18 |
| 1417447715 | Nicola Rotoli | Massage Therapist | 2806a Sw Natura Nlvd, Unit A, Deerfield Beach, FL 33441 | 2018-05-14 |
| 1669998076 | Tellus LLC | Home Health | 800 Fairway Dr #360, Deerfield Beach, FL 33441 | 2017-08-17 |
| 1699204958 | Christine Angelo | Behavior Technician | 500 Fairway Dr.suite 102, Deerfield Beach, FL 33441 | 2017-06-08 |
| 1053848705 | Coqui Medical Specialties | Durable Medical Equipment & Medical Supplies | 832 S.e. 8th Avenue, Deerfield Beach, FL 33441 | 2017-05-12 |
| 1114462082 | Christopher Gamboa | Physician Assistant | 1000 E Hillsboro Blvd Ste 102, Deerfield Beach, FL 33441 | 2016-12-30 |
| 1871041285 | Erica Etienne | Developmental Therapist | 421 Fayetteville Street, Suite 1100, Raleigh, NC 33441 | 2016-09-14 |
| Find all providers in zip 33441 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649899840 | Casey Rogers | Chiropractor | 615 Siesta Key Cir Apt 3311, Deerfield Beach, FL 33441-8130 | 2020-04-09 |
| 1104338631 | Chiro-fitness Centers, Inc | Chiropractor | 665 Se 10th St Ste 100, Deerfield Beach, FL 33441-5634 | 2017-10-24 |
| 1285187831 | Lasting Purpose LLC | Chiropractor | 1365 South Military Trail, Deerfield Beach, FL 33442 | 2016-08-01 |
| 1073978318 | Deer Creek Medical Group | Chiropractor | 3401 Deer Creek Country Club Blvd, Suite B, Deerfield Beach, FL 33442-8427 | 2015-12-30 |
| 1497188023 | Marshelene Ricks | Chiropractor | 229 Sw 3rd Ct, Deerfield Beach, FL 33441-4603 | 2013-08-19 |
| 1649526179 | Lance Wald Dc Pa | Chiropractor | 100 S Military Trl Ste 18, Deerfield Beach, FL 33442-3031 | 2012-08-02 |
| 1265707277 | D.s. Maklan Dc Pa | Chiropractor | 616 S Federal Hwy, Deerfield Beach, FL 33441-4154 | 2012-03-09 |
| 1235408006 | The Wellness Spot, Inc | Chiropractor | 318 Hillsboro Blvd, Deerfield Beach, FL 33441 | 2011-12-22 |
| 1346531480 | Perry Chiropractic Center, Inc. | Chiropractor | 90 Tilford E, Suite T, Deerfield Beach, FL 33442-2106 | 2011-04-25 |
| 1053614099 | K & S Physicians Group | Chiropractor | 3467 W. Hillsboro Blvd, Ste B, Deerfield Beach, FL 33442 | 2010-12-14 |
| Find all providers in DEERFIELD BEACH | ||||
| City | DEERFIELD BEACH |
| Zip Code | 33441 |
Please comment or provide details below to improve the information on REVIVE CHIROPRACTIC & MED SPA, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.