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Organization
REVIVE PCMS FLORIDA LLC
Active
Organization
REVIVE PCMS FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAHID JAMAL (OWNER)
(813) 482-1688
Entity
Organization
Contact information
Practice address
21859 STATE ROAD 54, LUTZ, FL 33549-6924
(813) 382-8747
(888) 355-6731
Mailing address
21859 STATE ROAD 54, LUTZ, FL 33549-6924
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/23/2025
Last updated
10/30/2025
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