Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
REVIBE THERAPY PLLC
Active
Organization
REVIBE THERAPY PLLC
Active
Other names
Revibe Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE MIGUEL DE LA CRUZ JR. LCSW (HYPNOTHERAPIST/ PSYCHOTHERAPIST)
(407) 801-2191
Entity
Organization
Contact information
Practice address
6900 TAVISTOCK LAKES BLVD STE 400, ORLANDO, FL 32827-7593
(407) 801-2191
Mailing address
11901 LANDING POINT LOOP, ORLANDO, FL 32832-5904
(407) 801-2191
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629635073
—
FL
Enumeration date
06/04/2019
Last updated
05/29/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up