Organization · Type 2 NPI

Revive PCMS Florida LLC

Family Medicine Physician · Lutz, FL

NPI number 1386526978 Active

Practice location

21859 State Road 54
Lutz, FL 33549-6924

Fax (888) 355-6731

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1386526978

Revive PCMS Florida LLC's National Provider Identifier is 1386526978, issued on Jul 23, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Lutz, FL. The record was last updated on Oct 30, 2025.