Organization
REVIVE MEDICAL & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL ALLEN BOZE (EMPLOYEE)
(352) 515-1731
Entity
Organization
Contact information
Practice address
7125 MARINER BLVD, SPRING HILL, FL 34609-1048
(352) 515-1731
Mailing address
7125 MARINER BLVD, SPRING HILL, FL 34609-1048
(352) 515-1731
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
09/23/2019
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