OrganizationActive
Revolution Chiropractic LLC
NPI 1124576566 · Chiropractor · Jacksonville, FL
Provider details
- NPI number
- 1124576566
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Lauren Cost, Owner(904) 716-1098
- License
- 11821 (FL)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14866 Old St Augustine Road
Suite 113
Jacksonville, FL 32258
Phone: (904) 716-1098
Street-level locationGet directions
Mailing address
313 Summer Springs Ct
Jacksonville, FL 32225-4186
Registry dates
- Enumerated
- 2016-09-14
- Last updated
- 2016-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.