Revive Medical Spa Llc

LBN: Revive Medical Spa Llc
Revive Medical Spa Llc is an health care organization with primary practice located at 2150 49Th St N , St Petersburg FL 33710-5237. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Revive Medical Spa Llc can be contacted via phone (727) 321-6130, or through Bretz, Christopher via phone (941) 921-2225.

Contact Information

Primary practice address
2150 49Th St N St Petersburg FL 33710-5237
Phone: (727) 321-6130
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bretz, Christopher Doctor of Chiropractic (DC)
Phone: (941) 921-2225

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Florida

Profile Details

NPI number 1326436049
LBN Legal business name Revive Medical Spa Llc
DBA Doing business as
Authorized official Bretz, Christopher Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2015
Last updated Jan 5th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326436049 NPPES
Florida Other AV987A MEDICARE PTAN

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