Organization
CARROLLWOOD MEDICAL GROUP, LLC.
Active
Other names
Revello Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO CALVO (COO)
(813) 888-8215
Entity
Organization
Contact information
Practice address
10213 LAKE CARROLL WAY STE B, TAMPA, FL 33618-4402
(813) 888-8215
(813) 885-5398
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
08/26/2016
Last updated
02/10/2025
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