| NPI | 1720842503 |
|---|---|
| Doing Business As | REVELATION SPINE CENTER |
| Entity Type | Organization |
| Authorized Contact | JESSE L STEM Owner 727-490-9115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2025-04-24 |