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REVIVAL ORTHOPAEDICS INC NPI 1285837492


NPI Information

NPI: 1285837492
Provider Name: REVIVAL ORTHOPAEDICS INC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
1190 NW 95TH ST
SUITE 305
MIAMI, FL
ZIP 33150
Phone: (305) 694-9400
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REVIVAL ORTHOPAEDICS INC is an orthopaedic surgery in Miami, FL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. REVIVAL ORTHOPAEDICS INC NPI is 1285837492. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1190 NW 95TH ST
SUITE 305
MIAMI, FL
ZIP 33150-063
Phone: (305) 694-9400
Fax: (305) 693-6942

The provider's authorized official is Mark Bridges .
The authorized official title is Physician and has the following contact phone number (305) 694-9400.

The enumeration date for this NPI number is 6/6/2007 and was last updated on 12/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryME93941FLORIDANo
2207X00000XOrthopaedic SurgeryME91496FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H94689MEDICARE UPINFLORIDA
2I31026MEDICARE UPINFLORIDA
3274429500MEDICAIDFLORIDA
4271502300MEDICAIDFLORIDA
5K8458MEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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