# REVENANT INTERNATIONAL LTD CO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Revenant International LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912784091
- **Authorized official:** TREVOR JONES (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (718) 717-8121

## Contact information

- **Practice address:** 7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
- **Practice address phone:** (941) 365-0333
- **Mailing address:** 7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/12/2023
- **Last updated:** 09/12/2023