Organization
REVIVAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY MICHAELA GUTSCHMIDT NP (OWNER)
(862) 219-8573
Entity
Organization
Contact information
Practice address
1343 MAIN ST STE 404, SARASOTA, FL 34236-5621
(862) 219-8573
(941) 740-5496
Mailing address
1343 MAIN ST STE 404, SARASOTA, FL 34236-5621
(862) 219-8573
(941) 740-5496
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2020
Last updated
09/20/2020
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