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

Revolution Chiropractic LLC

Organization Chiropractor · NPI 1124576566

Revolution Chiropractic LLC is a Chiropractor 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
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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