| Revello Medical Center | |
|
10213 Lake Carroll Way Ste D Tampa FL 33618-4402 | |
| (813) 888-8215 | |
| (813) 885-5398 |
| Full Name | Revello Medical Center |
|---|---|
| Speciality | Clinic/center |
| Location | 10213 Lake Carroll Way, Tampa, Florida |
| Authorized Official Name and Position | Antonio Calvo (MANAGER) |
| Authorized Official Contact | 8138888215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revello Medical Center 5901 Webb Rd Tampa FL 33615-3219 Ph: (813) 888-8215 | Revello Medical Center 10213 Lake Carroll Way Ste D Tampa FL 33618-4402 Ph: (813) 888-8215 |
| NPI Number | 1982150348 |
|---|---|
| Provider Enumeration Date | 08/26/2016 |
| Last Update Date | 08/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982150348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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