# REVIVE MEDICAL & REHAB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740849132
- **Authorized official:** GABRIEL ALLEN BOZE (EMPLOYEE)
- **Authorized official phone:** (352) 515-1731

## Contact information

- **Practice address:** 7125 MARINER BLVD, SPRING HILL, FL 34609-1048
- **Practice address phone:** (352) 515-1731
- **Mailing address:** 7125 MARINER BLVD, SPRING HILL, FL 34609-1048
- **Mailing address phone:** (352) 515-1731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2019
- **Last updated:** 09/23/2019