Organization
REVIVE INFUSION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN SMITH DO (OWNER)
(808) 699-8068
Entity
Organization
Contact information
Practice address
2226 LILIHA ST STE 304, HONOLULU, HI 96817-1605
(808) 699-8068
(808) 229-1575
Mailing address
2226 LILIHA ST STE 304, HONOLULU, HI 96817-1605
(808) 699-8068
(808) 229-1575
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/16/2025
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