Organization
REVIVECARE MEDICAL & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMA DORON ARNP (ARNP)
(407) 300-8768
Entity
Organization
Contact information
Practice address
2925 E SOUTH ST, ORLANDO, FL 32803-6459
(321) 209-2203
(888) 344-9692
Mailing address
1534 BIRCHWOOD AVE, KISSIMMEE, FL 34744-4015
(407) 300-8768
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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