REVIVE PCMS FLORIDA LLC NPI 1386526978

NPI Information

  • NPI: 1386526978
  • Provider Name: REVIVE PCMS FLORIDA LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 21859 STATE ROAD 54
    LUTZ, FL
    ZIP 33549
  • Phone: (813) 382-8747

Map and Directions

Get Directions

NPI Details

REVIVE PCMS FLORIDA LLC is a family medicine in Lutz, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. REVIVE PCMS FLORIDA LLC NPI is 1386526978. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21859 STATE ROAD 54
LUTZ, FL
ZIP 33549-924
Phone: (813) 382-8747
Fax: (888) 355-6731

The provider's authorized official is Zahid Jamal .
The authorized official title is Owner and has the following contact phone number (813) 482-1688.

The enumeration date for this NPI number is 7/23/2025 and was last updated on 10/30/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI