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1326436049
REVIVE MEDICAL SPA LLC
ST PETERSBURG, FL
NPI
1326436049
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Entity Type
Organization
Authorized Contact
CHRISTOPHER BRETZ
Practice Owner & Provider
941-921-2225
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
Enumeration Date
2015-01-05
Last Update Date
2015-01-05
Business Address
REVIVE MEDICAL SPA LLC
2150 49TH ST N
ST PETERSBURG, FL 33710-5237
Phone number: 727-321-6130
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Mailing Address
REVIVE MEDICAL SPA LLC
5989 APPROACH RD
SARASOTA, FL 34238-5720
Phone number: 941-921-2225
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