Healthcare Provider Details

I. General information

NPI: 1053227363
Provider Name (Legal Business Name): CLINICAL RELIEF INSTITUTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7506 LYNX WAY UNIT 102
MELBOURNE FL
32940-8872
US

IV. Provider business mailing address

7506 LYNX WAY UNIT 102
MELBOURNE FL
32940-8872
US

V. Phone/Fax

Practice location:
  • Phone: 321-319-7474
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL ROZENBLUM
Title or Position: OWNER
Credential: DC
Phone: 505-780-1923