Revival Orthopaedics Inc

LBN: Revival Orthopaedics Inc
Revival Orthopaedics Inc is an health care organization with primary practice located at 1190 Nw 95Th St Suite 305, Miami FL 33150-2063. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Revival Orthopaedics Inc can be contacted via phone (305) 694-9400, or through Bridges, Mark via phone (305) 694-9400.

Contact Information

Primary practice address
1190 Nw 95Th St Suite 305 Miami FL 33150-2063
Phone: (305) 694-9400
Fax: (305) 693-6942
Website:
Map and Directions
Authorized official contact:
Name: Bridges, Mark Doctor of Medicine (MD)
Phone: (305) 694-9400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME91496 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME93941 Florida

Profile Details

NPI number 1285837492
LBN Legal business name Revival Orthopaedics Inc
DBA Doing business as
Authorized official Bridges, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2007
Last updated Dec 18th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285837492 NPPES
Florida MEDICAID 274429500
Florida MEDICAID 271502300

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