Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revive Chiropractic & Wellness, LLC

Organization Chiropractor · NPI 1790042943

Revive Chiropractic & Wellness, LLC is a Chiropractor in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3546 Saint Johns Bluff Rd S Unit 204
Jacksonville, FL 32224-2716
Phone: (904) 996-2243
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH9924 (FL)
Chiropractor Taxonomy 111N00000X · Licence CH3311 (FL)

Record details

NPI number1790042943
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zachary Stalnaker — Mgrm/Owner · (904) 996-2243
NPI enumeratedApril 12, 2012
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address3546 Saint Johns Bluff Rd S Unit 204, Jacksonville, FL 32224-2716

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