Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revive Functional Rehabilitation Center

Organization Pain Clinic/Center · NPI 1619770005

Revive Functional Rehabilitation Center is a Pain Clinic/Center in Tampa, Florida. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3246 Cove Bend Dr
Tampa, FL 33613-2752
Phone: (850) 291-3618
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Clinic/Center (primary) Taxonomy 261QP3300X

Record details

NPI number1619770005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Fairleigh — Owner · (850) 291-3618
NPI enumeratedMarch 31, 2025
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025
Mailing address25 Mar Vista Cir, Pensacola, FL 32507-3486

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