DIANA REVENCO

TAMPA, FL
NPI1386810091
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: FL  ME146373)
Additional Taxonomies207UN0901X Nuclear Medicine, Nuclear Cardiology
(Licence: NH  15634)
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: WA  MD60668587)
Enumeration Date2008-05-02
Last Update Date2023-09-15
Business Address
DIANA REVENCO MD
6919 N DALE MABRY HWY STE 125
TAMPA, FL 33614-3972
Phone number: 813-497-9661
Mailing Address
DIANA REVENCO MD
1100 9TH AVE MS:M4-PFS
SEATTLE, WA 98101-2756
Phone number: 206-515-5811