Organization
AVON PARK MEDICAL GROUP, LLC.
Active
Organization
AVON PARK MEDICAL GROUP, LLC.
Active
Other names
Revello Medical
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO CALVO (CFO)
(813) 888-8215
Entity
Organization
Contact information
Practice address
1023 US HIGHWAY 27 S, AVON PARK, FL 33825-5107
(863) 201-7329
(863) 201-7251
Mailing address
5901 WEBB RD, TAMPA, FL 33615-3219
(813) 888-8215
(813) 885-5398
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
04/25/2025
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