| Revive Pcms Florida Llc | |
|
21859 State Road 54 Lutz FL 33549-6924 | |
| (813) 382-8747 | |
| (888) 355-6731 |
| Full Name | Revive Pcms Florida Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 21859 State Road 54, Lutz, Florida |
| Authorized Official Name and Position | Zahid Jamal (OWNER) |
| Authorized Official Contact | 8134821688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Pcms Florida Llc 21859 State Road 54 Lutz FL 33549-6924 Ph: () - | Revive Pcms Florida Llc 21859 State Road 54 Lutz FL 33549-6924 Ph: (813) 382-8747 |
| NPI Number | 1386526978 |
|---|---|
| Provider Enumeration Date | 07/23/2025 |
| Last Update Date | 10/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386526978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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