REVIVAL RESEARCH NPI 1720598303

NPI Information

NPI: 1720598303
Provider Name: REVIVAL RESEARCH
Classification: Clinic/Center - 261QR1100X
Entity Type: Organization

Specialization: Research

CLIA Number: 10D2123378

Address:
8200 NW 27TH ST STE 116
DORAL, FL
ZIP 33122
Phone: (305) 982-8892
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REVIVAL RESEARCH is a research clinic center in Doral, FL. REVIVAL RESEARCH NPI is 1720598303. The provider is registered as an organization entity type.

The provider's business location address is:

8200 NW 27TH ST STE 116
DORAL, FL
ZIP 33122-902
Phone: (305) 982-8892

The provider's authorized official is Hansell Leyva .
The authorized official title is Site Director and has the following contact phone number (305) 982-8892.

The CLIA number assigned to this NPI record is 10D2123378 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/9/2017 and was last updated on 10/9/2017.

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
1	261QR1100X	Clinic/Center	Research			Yes

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

NPI Synchronization or Removal

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