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Organization
REVIVE TRANSITIONAL CARE AND IN HOME PRIMARY MEDICINE, LLC
Active
Organization
REVIVE TRANSITIONAL CARE AND IN HOME PRIMARY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIBEL PALMER (AUTHORIZED OFFICIAL)
(407) 429-1065
Entity
Organization
Contact information
Practice address
900 SPRINGWOOD DR, ORLANDO, FL 32839-1318
(407) 429-1065
Mailing address
612 CORPORATE WAY STE 2M, VALLEY COTTAGE, NY 10989-2027
(718) 362-1411
(718) 362-1651
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/31/2023
Last updated
01/23/2025
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