| Revival Health & Wellness Llc | |
|
6801 Collins Ave Ste C1005 Miami Beach FL 33141-3243 | |
| (732) 929-7270 | |
| Not Available |
| Full Name | Revival Health & Wellness Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6801 Collins Ave Ste C1005, Miami Beach, Florida |
| Authorized Official Name and Position | Arvinder Singh (OFFICE INCHARGE) |
| Authorized Official Contact | 7329297270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Revival Health & Wellness Llc 6801 Collins Ave Ste C1005 Miami Beach FL 33141-3243 Ph: () - | Revival Health & Wellness Llc 6801 Collins Ave Ste C1005 Miami Beach FL 33141-3243 Ph: (732) 929-7270 |
| NPI Number | 1891572145 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Medicare PECOS PAC ID | 6507212388 |
|---|---|
| Medicare Enrollment ID | O20231031001425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891572145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jorge Jorge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366949737 PECOS PAC ID: 9537564687 Enrollment ID: I20210827000257 |
| Provider Name | Alan Manh-tuong Nguyen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073014213 PECOS PAC ID: 2264810738 Enrollment ID: I20220613001224 |
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