REVIVE MEDICAL CENTER LLC

TAMPA, FL
NPI1811291461
Entity TypeOrganization
Authorized ContactWILLIAM NICHOLAS RIVERA
Owner
813-749-7582
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: FL  CH7950)
Enumeration Date2010-12-22
Last Update Date2010-12-22
Business Address
REVIVE MEDICAL CENTER LLC
12185 W LINEBAUGH AVE
TAMPA, FL 33626-1732
Phone number: 813-749-7582
Mailing Address
REVIVE MEDICAL CENTER LLC
12185 W LINEBAUGH AVE
TAMPA, FL 33626-1732
Phone number: 813-749-7582
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