| Revive Pbg Llc | |
|
5320 Donald Ross Rd Ste 125, Palm Beach Gardens, FL 33418-7296 | |
| (561) 531-9320 | |
| (772) 413-7025 |
| Full Name | Revive Pbg Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 5320 Donald Ross Rd Ste 125, Palm Beach Gardens, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417522186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Pbg Llc 5320 Donald Ross Rd Ste 125, Palm Beach Gardens, FL 33418-7296 Ph: (561) 531-9320 | Revive Pbg Llc 5320 Donald Ross Rd Ste 125, Palm Beach Gardens, FL 33418-7296 Ph: (561) 531-9320 |
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