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1952143794
REVILBRAY REVILLA
MIAMI, FL
NPI
1952143794
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11033303)
Enumeration Date
2024-06-12
Last Update Date
2024-06-13
Business Address
REVILBRAY REVILLA FNP-C
6301 SW 150TH AVE
MIAMI, FL 33193-2790
Phone number: 786-395-6120
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Mailing Address
REVILBRAY REVILLA FNP-C
6301 SW 150TH AVE
MIAMI, FL 33193-2790
Phone number: 786-395-6120
Copy
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