REVIVE5 PAIN MANAGEMENT LLC NPI 1508749664

NPI Information

  • NPI: 1508749664
  • Provider Name: REVIVE5 PAIN MANAGEMENT LLC
  • Classification: Clinic/Center - 261QP3300X
  • Specialization: Pain
  • Entity Type: Organization
  • Address: 801 N ORANGE AVE STE 710
    ORLANDO, FL
    ZIP 32801
  • Phone: (407) 333-0496

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NPI Details

REVIVE5 PAIN MANAGEMENT LLC is a pain clinic center in Orlando, FL. REVIVE5 PAIN MANAGEMENT LLC NPI is 1508749664. The provider is registered as an organization entity type.

The provider's business location address is:

801 N ORANGE AVE STE 710
ORLANDO, FL
ZIP 32801-202
Phone: (407) 333-0496

The provider's authorized official is Osama Soudah .
The authorized official title is Owner and has the following contact phone number (714) 476-6272.

The enumeration date for this NPI number is 7/28/2025 and was last updated on 7/28/2025.

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
1261Q00000XClinic/CenterNo
2261QA1903XClinic/CenterAmbulatory SurgicalNo
3261QM1300XClinic/CenterMulti-SpecialtyNo
4261QU0200XClinic/CenterUrgent CareNo
5261QX0200XClinic/CenterOncologyNo
6261QP3300XClinic/CenterPainYes

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

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