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REVIVAL HEALTH GROUP, P.A.

Company Details

Entity Name: REVIVAL HEALTH GROUP, P.A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 05 May 2021 (4 years ago)
Document Number: P21000040540
FEI/EIN Number 86-3775256
Address: 2396 EDGEWOOD AVE N, JACKSONVILLE, FL 32254
Mail Address: 2396 EDGEWOOD AVE N, JACKSONVILLE, FL 32254
ZIP code: 32254
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023680139 2021-07-16 2021-07-16 2396 EDGEWOOD AVE N, JACKSONVILLE, FL, 322541725, US 2396 EDGEWOOD AVE N, JACKSONVILLE, FL, 322541725, US

Contacts

Phone +1 904-781-2300
Fax 9047813502

Authorized person

Name JAMES RIPPA
Role PRESIDENT
Phone 4136268798

Taxonomy

Taxonomy Code 111N00000X - Chiropractor
Is Primary Yes

Agent

Name Role Address
RIPPA, JAMES Agent 2396 EDGEWOOD AVE N, JACKSONVILLE, FL 32254

President

Name Role Address
RIPPA, JAMES President 2396 EDGEWOOD AVE N, JACKSONVILLE, FL 32254

Secretary

Name Role Address
RIPPA, JAMES Secretary 2396 EDGEWOOD AVE N, JACKSONVILLE, FL 32254

Treasurer

Name Role Address
RIPPA, JAMES Treasurer 2396 EDGEWOOD AVE N, JACKSONVILLE, FL 32254

Director

Name Role Address
RIPPA, JAMES Director 2396 EDGEWOOD AVE N, JACKSONVILLE, FL 32254

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000038021 ROBINSON CHIROPRACTIC ACTIVE 2024-03-15 2029-12-31 No data 2396 EDGEWOOD AVE N, JACKSONVILLE, FL, 32254

Documents

Name Date
ANNUAL REPORT 2024-02-10
ANNUAL REPORT 2023-04-19
ANNUAL REPORT 2022-07-19
Domestic Profit 2021-05-05

Date of last update: 13 Feb 2025

Sources: Florida Department of State