Organization
WEST TAMPA MEDICAL GROUP,LLC
Active
Organization
WEST TAMPA MEDICAL GROUP,LLC
Active
Other names
Revello Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO CALVO JR. (COO)
(813) 888-8215
Entity
Organization
Contact information
Practice address
2601 N HIMES AVE, TAMPA, FL 33607-2112
(813) 873-8071
(813) 877-4031
Mailing address
5901 WEBB RD, TAMPA, FL 33615-3219
(813) 888-8215
(813) 885-5398
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2010
Last updated
04/10/2026
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