REVIVE HEALTH CENTER, INC. (NPI# 1003462862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003462862 |
| Entity Type | Organization |
| Organization Name | REVIVE HEALTH CENTER, INC. |
| Practice Address |
1011 Ives Dairy Rd Ste 107 Miami FL 33179-2536 |
| Mailing Address |
1011 Ives Dairy Rd Ste 105 Miami FL 33179-2536 |
| Practice Telephone | 3057094538 |
| Practice Fax Number | 3057094548 |
| Mailing Telephone | 3057094538 |
| Mailing Fax Number | 3057094548 |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |
| Authorized Official Name | SAGI SHAKED (OWNER) |
| Authorized Official Telephone | 3057905037 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | SELF PAY | 1011 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 Sw 12th Ave Ste 101, Pompano Beach, FL 330693298 | 9549082688 | 9549082687 |
| 4101 Nw 3rd Ct Ste 17, Plantation, FL 333172857 | 9546691996 | 9546691997 |
| 7600 W 20th Ave Ste 107, Hialeah, FL 330161895 | 3059986967 | 3059986997 |
| Street Address |
1011 IVES DAIRY RD STE 107 |
| City | MIAMI |
| State | FL |
| Zip Code | 33179-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134781263 | Surgiclear | Internal Medicine | 1011 Ives Dairy Rd Ste 107, Miami, FL 33179-2536 | 2019-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619531365 | Bianca Dorce | Nurse Practitioner | 20036 Ne 2nd Pl, Miami, FL 33179 | 2019-04-29 |
| 1790254027 | Linda Rachel Topel | Family Medicine | 1911 Ne 197 Terrace, North Miami Beach, FL 33179 | 2018-11-15 |
| 1427542356 | Arianne Monal | Assistant Behavior Analyst | 447 Ne 210th Circle Ter Apt 202, Miami, FL 33179 | 2018-06-14 |
| 1588152268 | Carvil's Professional Service | Case Management | 1311 Ne 210 Ter, Miami, FL 33179 | 2018-04-27 |
| 1407363997 | Martha Acosta | Behavioral Analyst | 1160 Ne 214th St, Miami, FL 33179 | 2018-01-05 |
| 1730698697 | Jacqueline Stone | Dietitian, Registered | 1895 Ne 197th Ter, Miami, FL 33179 | 2017-09-23 |
| 1912420647 | Barbara Ann Hunter | Social Worker | 20170 Ne 3 Court Unit 1, Miami, FL 33179 | 2017-07-25 |
| 1356875660 | Germanie Marlene Casanova | Counselor | 1300 Ne 204 Street, Miami, FL 33179 | 2017-04-13 |
| 1164962494 | Lilliana Vazquez-rivera Md LLC | Internal Medicine | 382 Ne 191st St, #74432, Miami, FL 33179 | 2017-03-06 |
| 1437606027 | Marjorie Jadotte | Nurse Practitioner | 20826 San Simeon Way Unit 51 L, North Miami Beach, FL 33179 | 2016-09-01 |
| Find all providers in zip 33179 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811540321 | Azur Family Chiropractic and Wellness | Chiropractor | 12821 N Kendall Dr, Miami, FL 33186-1707 | 2019-07-23 |
| 1285292144 | Giovanna Marie Ramirez | Chiropractor | 2645 Sw 37th Ave Ste 604, Miami, FL 33133-2745 | 2019-06-04 |
| 1841858297 | Health-fit Miami LLC | Chiropractor | 162 Ne 25th St Ste 103, Miami, FL 33137-4852 | 2019-05-31 |
| 1881259570 | Jeffrey Lamar Jackson II | Chiropractor | 13865 S Dixie Hwy # 307, Miami, FL 33176-7221 | 2019-05-08 |
| 1851955454 | Eugenio Alxide Hernandez | Chiropractor | 7235 Coral Way Ste 208, Miami, FL 33155-1452 | 2019-04-29 |
| 1578127106 | Dr. Abs Lifestyle & Wellness, LLC | Chiropractor | 488 Ne 18th St Unit 1709, Miami, FL 33132-1297 | 2019-04-29 |
| 1467015826 | Nicole Marie Ruiz-aponte | Chiropractor | 9421 Fontainebleau Blvd Apt 210, Miami, FL 33172-5582 | 2019-04-20 |
| 1699231076 | Vinita Gulati | Chiropractor | 11099 Sw 10th St Pg6 Suite 145, Miami, FL 33199-0001 | 2019-02-11 |
| 1922572031 | Wynwellness LLC | Chiropractor | 56 Ne 29th St, Miami, FL 33137-4413 | 2019-01-11 |
| 1922576743 | Elite Spine Miami, LLC | Chiropractor | 12001 Sw 128th Ct Ste 201, Miami, FL 33186-4666 | 2018-11-09 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.