Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Revolution Chiropractic LLC

Organization Chiropractor · NPI 1124576566

Revolution Chiropractic LLC provides Chiropractor services in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
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

14866 Old St Augustine Rd Ste 113
Jacksonville, FL 32258 Not confirmed with CMS for 10 years — call before visiting
Phone: (904) 716-1098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 11821 (FL)

Record details

NPI number1124576566
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lauren Cost — Owner · (904) 716-1098
NPI enumeratedSeptember 14, 2016
Last updated in NPPESSeptember 14, 2016
Mailing address313 Summer Springs Ct, Jacksonville, FL 32225-4186

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