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Organization
REVIVAL HEALTH SERVICES LLC
Active
Organization
REVIVAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAMILA MENDEZ (DIRECTOR OF OPERATIONS)
(646) 921-0872
Entity
Organization
Contact information
Practice address
21065 POWERLINE RD STE 35, BOCA RATON, FL 33433-2313
(561) 484-2947
Mailing address
20980 CIPRES WAY, BOCA RATON, FL 33433-1604
(646) 921-0872
(315) 612-9793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
01/02/2024
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