JM. JZ Enterprises

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

CH9815 Issued in FL

Legal business name

JM. JZ ENTERPRISES

Doing business as

RevitaSpine

Practice address

210 Jupiter Lakes Blvd Ste 5205
Jupiter, FL 33458

Phone

(561) 633-4142

Fax

(561) 803-8708

NPI assigned

Aug 18, 2017

Last updated

Jul 12, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jonn A McClellan, DCNPI 1629209523

Title

Owner

Phone

(561) 602-2888

Specialties & licenses 1

Addresses

Other names 1

• RevitaSpine Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonn A. McClellan, D.C.

  • Chiropractor
  • Jupiter, FL
  • NPI 1629209523
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1629594866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8439 E GARDEN OAKS CIR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106369",
            "telephone_number": "561-768-5699",
            "fax_number": "561-803-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JUPITER LAKES BLVD STE 5205",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33458",
            "telephone_number": "561-633-4142",
            "fax_number": "561-803-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JM. JZ ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "MCCLELLAN",
        "authorized_official_first_name": "JONN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-602-2888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH9815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RevitaSpine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica E Harrison, LCSW
• Milena Jibaja
• Sophia Jibodh, M.D.
• JKHT LLC (Palm View Audiology and Speech Therapy)
• JLM Therapy, Inc.
• Jog PA
• John a.P, Rimmer, MD, PA
• John C Li MD PA
• Johnnie L Mitchell Arnp PA
• Diana Johnson-Ford, DPT

• Clinic/Center in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.