REVIVAL HEALTH (NPI# 1184230674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184230674 |
Entity Type | Organization |
Organization Name | REVIVAL HEALTH |
Practice Address |
1343 Main St Ste 404 Sarasota FL 34236-5621 |
Practice Telephone | 8622198573 |
Practice Fax Number | 9417405496 |
Mailing Telephone | 8622198573 |
Mailing Fax Number | 9417405496 |
Enumeration Date | 2020-09-20 |
Last Update Date | 2020-09-20 |
Authorized Official Name | BRITTANY MICHAELA GUTSCHMIDT (OWNER) |
Authorized Official Telephone | 8622198573 |
Authorized Official Credential | NP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | REVIVAL HEALTH CENTER LLC | 24721 C38, Merrill, IA 51038 |
Colorado Business Entities | REVIVAL HEALTH MEDICAL GROUP DE P.A. | 3809 Legend Trail, Granbury, TX 76049 |
Street Address |
1343 MAIN ST STE 404 |
City | SARASOTA |
State | FL |
Zip Code | 34236-5621 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679065122 | Pines of Sarasota Healthcare, LLC | Assisted Living Facility | 1251 N Orange Ave, Sarasota, FL 34236 | 2018-05-31 |
1053800995 | Susan Grace Swinnerton | Counselor | 1753 Ringling Boulevard, Sarasota, FL 34236 | 2018-05-07 |
1457892895 | Smart Living Coaching Services LLC | Psychologist | 1188 N Tamiami Trl Unit 205b, Sarasota, FL 34236 | 2017-03-18 |
1427595784 | Lisa Johnson Physical Therapy, Pllc | Physical Therapist | 1451 2nd St, Sarasota, FL 34236 | 2017-01-25 |
1003362302 | Jennifer Dawson | Counselor | 1565 State St., Sarasota, FL 34236 | 2016-08-28 |
1548662141 | Lanneka White | Nurse Practitioner | 1990 Main Street Suite 750 Unit 738, Sarasota, FL 34236 | 2014-09-25 |
1215200878 | Gt Spiritual Enterprises, Inc. | Acupuncturist | 25 South Osprey Avenue, Sarasota, FL 34236 | 2012-02-13 |
1225315070 | Michelle Celeste Berhen | Physical Therapist | 1058 N Tamiami Trail 108-280, Sarasota, FL 34236 | 2011-11-08 |
1730412701 | My Smile Dentistry | Dentist | 846 South Osprey Avenue, Sarasota, FL 34236 | 2009-09-09 |
1134361587 | Kasy Willie Kane | Counselor | 310 South Osprey Avenue, Sarasota, FL 34236 | 2009-04-01 |
Find all providers in zip 34236 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811515398 | Knp Medical | Clinic/Center | 1250 S Tamiami Trl Ste 401, Sarasota, FL 34239-2221 | 2020-07-10 |
1467084665 | Dr Zane Zynda LLC | Clinic/Center | 6981 Curtiss Ave Ste 6, Sarasota, FL 34231-8111 | 2020-02-06 |
1073915120 | Advanced Acupuncture | Clinic/Center | 5632 Bee Ridge Rd, Suite 101, Sarasota, FL 34233-1556 | 2014-09-19 |
1629241492 | Adams Chiropractic Center Pa | Clinic/Center | 3307 Clark Rd, Suite 102, Sarasota, FL 34231-8419 | 2008-04-11 |
1982882171 | Centergate Chiropractic and Rehabilitation | Clinic/Center | 5812 Bee Ridge Rd, Sarasota, FL 34233-5051 | 2008-02-10 |
1285770297 | Sarasota County Government Board of County Commissioners | Clinic/Center | 1301 Cattlemen Rd, Building B, Sarasota, FL 34232-6226 | 2007-01-29 |
1558381384 | Ptg Med Services LLC | Clinic/Center | 240 N Washington Blvd, Sarasota, FL 34236-5945 | 2006-07-21 |
1518576172 | Sarasota Medical Pregnancy Center, Inc | Clinic/Center | 1762 Hawthorne St Ste 5, Sarasota, FL 34239-2100 | 2020-07-29 |
1003440256 | Metta Acupuncture & Herbal Medicine | Clinic/Center | 4363 Groveland Ave, Sarasota, FL 34231-7629 | 2020-02-26 |
1942847256 | Living Well Clinic LLC | Clinic/Center | 7333 Scotland Way, Sarasota, FL 34238-8530 | 2019-12-05 |
Find all providers in SARASOTA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.