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Steven Robert Revilla
Student in an Organized Health Care Education/Training Program in Davie, Florida
NPI 1225810872

Steven Robert Revilla is a Student in an Organized Health Care Education/Training Program based in Pembroke Pines, FL. Steven Robert Revilla practices in Davie, FL. The NPI Number for Steven Robert Revilla is 1225810872 and holds a License No. 102704 (Florida).

The current practice location address for Steven Robert Revilla is 3200 S University Dr, Davie, FL and can be reached out via phone at 954-262-1300.

Location: 3200 S University Dr, Davie, FL, 33029-4220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225810872
Provider Name
Steven Robert Revilla
Credential
Provider Entity Type
Individual
Gender
Male
Address
3200 S University Dr, Davie, FL, 33029-4220
Phone Number
954-262-1300
Fax Number
Provider Enumeration Date
10/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3200 S University Dr
City
Davie
State
Florida
Zip
33328-2018
Phone Number
954-262-1300
Fax Number
person
Provider Business Mailing Address Details
Address
3200 S University Dr
City
Davie
State
Florida
Zip
33328-2018
Phone Number
954-262-1300
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
102704 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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