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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