Revollo, Martha Lorena

Revollo, Martha Lorena is an individual health care provider with primary practice located at 9980 Central Park Blvd N , Boca Raton FL 33428-1762. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as her primary health care specialty. Revollo, Martha Lorena can be contacted via phone (561) 558-1212.

Contact Information

Primary practice address
9980 Central Park Blvd N Boca Raton FL 33428-1762
Phone: (561) 558-1212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 141493 Florida

Profile Details

NPI number 1720329378
LBN Legal business name Revollo, Martha Lorena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2013
Last updated Jul 19th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers