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REVIVE MEDICAL & REHAB NPI 1740849132


NPI Information

NPI: 1740849132
Provider Name: REVIVE MEDICAL & REHAB
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
7125 MARINER BLVD
SPRING HILL, FL
ZIP 34609
Phone: (352) 515-1731
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REVIVE MEDICAL & REHAB is a general practice in Spring Hill, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee REVIVE MEDICAL & REHAB NPI is 1740849132. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7125 MARINER BLVD
SPRING HILL, FL
ZIP 34609-048
Phone: (352) 515-1731

The provider's authorized official is Gabriel Allen Boze .
The authorized official title is Employee and has the following contact phone number (352) 515-1731.

The enumeration date for this NPI number is 6/10/2019 and was last updated on 9/23/2019.


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
1208D00000XGeneral PracticeYes

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: 4/28/2024

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