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Organization
REVITALIZING INFUSION THERAPIES, LLC
Active
Organization
REVITALIZING INFUSION THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CRAIG BROWNING (OWNER)
(573) 355-4158
Entity
Organization
Contact information
Practice address
100 E DAKIN AVE, KISSIMMEE, FL 34741-5724
(321) 442-0192
Mailing address
100 E DAKIN AVE, KISSIMMEE, FL 34741-5724
(321) 442-0192
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
04/08/2020
Last updated
11/09/2023
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