Revan LLC

Organization Undersea and Hyperbaric Medicine (Emergency Medicine) Physician · NPI 1730145673

Revan LLC is an Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Palm Harbor, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in: FL
In the registry since: 2006

What do these letters mean?

LLC — Limited liability company: A form of business registration, not a clinical qualification.

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Practice location Address checks out

3890 Tampa Rd Ste 201
Palm Harbor, FL 34684-3677
Phone: (727) 781-3111
Fax: (727) 781-3113

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Specialties & licences

Undersea and Hyperbaric Medicine (Emergency Medicine) Physician (primary)	Taxonomy 207PE0005X · Licence OS4598 (FL)

Record details

NPI number	1730145673
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Charles Boothby — Owner · (727) 869-5551
Other names	D/B/A Wound Management
NPI enumerated	April 20, 2006
Last updated in NPPES	July 1, 2015
Mailing address	Po Box 25513, Tampa, FL 33622-5513