A Revolution Medical
LBN: A Revolution Medical
A Revolution Medical is an health care organization with primary practice located at 711 N Orlando Ave , Maitland FL 32751-4403. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
A Revolution Medical can be contacted via phone (407) 636-5391, or through Carder, Robert G via phone (407) 808-8763.
Contact Information
Primary practice address
711 N Orlando Ave
Maitland FL 32751-4403
Phone: (407) 636-5391
Fax: (407) 986-4404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1821516683 |
|---|---|
| LBN Legal business name | A Revolution Medical |
| DBA Doing business as | A Revolution Medical |
| Authorized official | Carder, Robert G DOM |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 31st, 2017 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821516683 | NPPES |
| Florida | Other | AP2102 | FLORIDA LICENSE |
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