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Organization
REVENANT INTERNATIONAL LTD CO
Active
Organization
REVENANT INTERNATIONAL LTD CO
Active
Other names
Revenant International LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR JONES (AUTHORIZED OFFICIAL)
(718) 717-8121
Entity
Organization
Contact information
Practice address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(941) 365-0333
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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