| Revival Health Group, P.a. | |
|
2396 Edgewood Ave N, Jacksonville, FL 32254-1725 | |
| (904) 781-2300 | |
| (904) 781-3502 |
| Full Name | Revival Health Group, P.a. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2396 Edgewood Ave N, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023680139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | James Rippa |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518919471 PECOS PAC ID: 9739114620 Enrollment ID: I20230411002749 |
| Mailing Address | Practice Location Address |
|---|---|
| Revival Health Group, P.a. 2396 Edgewood Ave N, Jacksonville, FL 32254-1725 Ph: (904) 781-2300 | Revival Health Group, P.a. 2396 Edgewood Ave N, Jacksonville, FL 32254-1725 Ph: (904) 781-2300 |
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