NPI Registry.org

Revival Health

NPI Registration Record

Provider / OrganizationNPIDate Certified
REVIVAL HEALTH11842306742020-09-20

The organization Revival Health is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1184230674. Registration indicates Revival Health is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center, ) (All Other Specialties & Provider Types, ) (Clinic/Center, Ambulatory Health Care Facilities)

Entity TypeOrganization
Provider OrganizationREVIVAL HEALTH
Practice Office Address1343 MAIN ST STE 404
SARASOTA, FL US
Practice Office Telephone8622198573
Practice Office Fax9417405496
Mailing Address1343 MAIN ST STE 404
SARASOTA, FL 342365621 US
Business Telephone8622198573
Business Fax9417405496
Authorized OfficialBRITTANY MICHAELA GUTSCHMIDT, OWNER
8622198573
Contact Endpoints
Secured messaging through EMR []http://revivalhealth.md-hq.com/
HPT Codes
CodePractice
License No
State
261Q00000X PRIMARY
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center

All Other Specialties & Provider Types

Clinic/Center
Ambulatory Health Care Facilities
OPI Codes
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