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Organization

REVENANT INTERNATIONAL LTD CO

Active
Other names
Revenant International LLC
Organization subpart
No

Provider details

NPI number
Authorized official
TREVOR JONES (AUTHORIZED OFFICIAL)
(718) 717-8121
Entity
Organization

Contact information

Practice address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(941) 365-0333
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary

Other

Enumeration date
09/12/2023
Last updated
09/12/2023
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