| Revitacare Health, Llc | |
|
410 S Ware Blvd Ste 824, Tampa, FL 33619-4456 | |
| (813) 328-5941 | |
| Not Available |
| Full Name | Revitacare Health, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Neurology |
| Location | 410 S Ware Blvd Ste 824, Tampa, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487590568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NN0400X | Chiropractor - Neurology | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Revitacare Health, Llc 410 S Ware Blvd Ste 824, Tampa, FL 33619-4456 Ph: (813) 328-5941 | Revitacare Health, Llc 410 S Ware Blvd Ste 824, Tampa, FL 33619-4456 Ph: (813) 328-5941 |
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