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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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