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1871311076
REVIVAL MED CENTERS, LLC
MIAMI, FL
NPI
1871311076
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Entity Type
Organization
Authorized Contact
ROSA ALBA PEREZ
Owner
561-886-8459
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2024-09-27
Last Update Date
2024-09-27
Business Address
REVIVAL MED CENTERS, LLC
8353 SW 124TH ST STE 207A
MIAMI, FL 33156-5847
Phone number: 786-443-5833
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Mailing Address
REVIVAL MED CENTERS, LLC
8353 SW 124TH ST STE 207A
MIAMI, FL 33156-5847
Phone number: 786-443-5833
Copy
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